Kevin R. Schroeder, Dpm

LBN: Kevin R. Schroeder, Dpm
Kevin R. Schroeder, Dpm is an health care organization with primary practice located at 3121 Evelyn Dr Ste 120, Beavercreek OH 45434-4309. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Kevin R. Schroeder, Dpm can be contacted via phone (937) 427-1175, or through Schroeder, Kevin Raymond via phone (937) 427-1175.

Contact Information

Primary practice address
3121 Evelyn Dr Ste 120 Beavercreek OH 45434-4309
Fax: (937) 427-9494
Website:
Authorized official contact:
Name: Schroeder, Kevin Raymond Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X

Profile Details

NPI number 1912950171
LBN Legal business name Kevin R. Schroeder, Dpm
DBA Doing business as
Authorized official Schroeder, Kevin Raymond Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Mar 10th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912950171 NPPES
Ohio MEDICAID 0752690

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