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NPI Code Detail

MEDICARE: DR. SALLY BETH SCHKOLNIK D.P.M

MEDICARE:  DR. SALLY BETH SCHKOLNIK  D.P.M
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
1213E00000XPodiatrist2317OH

Other Identifiers

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

General Provider Information

NPI Number : 1780741843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALLY BETH SCHKOLNIK D.P.M
Provider Business Mailing Address
First Line : 30 SEVERANCE CIR APT 506
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1527
Country : US
Telephone Number : 216-291-6000
Fax Number : 216-291-6013
Provider Business Practice Location Address
First Line : 30 SEVERANCE CIR APT 506
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1527
Country : US
Telephone Number : 216-291-6000
Fax Number : 216-291-6013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2007
Last Update Date : 08/12/2024

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