MEDICARE: EVAN MICHAEL SCHUMACHER

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1962160895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVAN MICHAEL SCHUMACHER

Provider Business Mailing Address
First Line	:	21600 OXNARD ST STE 1800
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-7807
Country	:	US
Telephone Number	:	818-345-2345
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 S GREENVILLE WEST DR
Second Line	:
City	:	GREENVILLE
State	:	MI
Zip	:	48838-3516
Country	:	US
Telephone Number	:	989-387-2437
Fax Number	:

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

Provider Enumeration Date	:	12/08/2021
Last Update Date	:	12/08/2021

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Directions to “ EVAN MICHAEL SCHUMACHER ” Practice Location

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