MEDICARE: DR. ERIC WILLIAM SCHNEEBERGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	44712	KY
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	35-078713	OH
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	44712	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780652750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC WILLIAM SCHNEEBERGER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 845
Second Line	:
City	:	WARSAW
State	:	KY
Zip	:	41095-0845
Country	:	US
Telephone Number	:	859-567-1591
Fax Number	:	859-567-1243

Provider Business Practice Location Address
First Line	:	441 HWY 42W
Second Line	:
City	:	WARSAW
State	:	KY
Zip	:	41095
Country	:	US
Telephone Number	:	859-567-1591
Fax Number	:	859-567-1253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	02/19/2016

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