MEDICARE: DR. BRETT JACOB SCHNEIDERMAN AUD

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	237600000X	Audiologist-Hearing Aid Fitter	10751	AZ

General Provider Information

NPI Number	:	1831603125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRETT JACOB SCHNEIDERMAN AUD

Provider Business Mailing Address
First Line	:	2627 N 3RD ST STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1126
Country	:	US
Telephone Number	:	602-277-4327
Fax Number	:	602-307-5905

Provider Business Practice Location Address
First Line	:	2627 N 3RD ST STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1126
Country	:	US
Telephone Number	:	602-277-4327
Fax Number	:	602-307-5905

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

Provider Enumeration Date	:	11/22/2017
Last Update Date	:	11/22/2017

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