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NPI Code Detail

MEDICARE: SCHEIDLER MEDICAL PREFERRED, LLC

MEDICARE: SCHEIDLER MEDICAL PREFERRED, LLC
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
1251S00000XCommunity/Behavioral Health Agency
2208D00000XGeneral Practice Physician

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 : 1780935254
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHEIDLER MEDICAL PREFERRED, LLC
Provider Business Mailing Address
First Line : 543 PARK AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45013-3033
Country : US
Telephone Number : 513-737-0257
Fax Number : 513-737-3627
Provider Business Practice Location Address
First Line : 543 PARK AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45013-3033
Country : US
Telephone Number : 513-737-0257
Fax Number : 513-737-3627
Authorized Official
Title or Position : PRACTICE MANAGER
Name : KATHY HUBBARD
Credential :
Telephone Number : 513-737-0257
Provider Enumeration Date : 09/25/2012
Last Update Date : 07/09/2021

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Directions to “SCHEIDLER MEDICAL PREFERRED, LLC ” Practice Location

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