Schneider, George R.

Schneider, George R. is an individual health care provider with primary practice located at 705 S University Ave Ste 510 , Beaver Dam WI 53916-3081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Schneider, George R. can be contacted via phone (920) 887-3102.

Contact Information

Primary practice address
705 S University Ave Ste 510 Beaver Dam WI 53916-3081
Phone: (920) 887-3102
Fax: (920) 885-8788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18465 Wisconsin

Profile Details

NPI number 1538109772
LBN Legal business name Schneider, George R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jan 14th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538109772 NPPES
Wisconsin MEDICAID 31210900
Wisconsin Other 61114

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