MEDICARE: CANDICE SCHOTT

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	374J00000X	Doula

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	317-363-6006	OTHER	IN	OTHER INSURANCE

General Provider Information

NPI Number	:	1811604515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDICE SCHOTT

Provider Business Mailing Address
First Line	:	455 JORDAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46217-4009
Country	:	US
Telephone Number	:	317-363-6006
Fax Number	:

Provider Business Practice Location Address
First Line	:	455 JORDAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46217-4009
Country	:	US
Telephone Number	:	317-363-6006
Fax Number	:

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

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	11/01/2022

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Directions to “ CANDICE SCHOTT ” Practice Location

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