Schneider, Thomas Russell

Schneider, Thomas Russell is an sole proprietor health care provider with primary practice located at 4501 N Davis Hwy Suite C, Pensacola FL 32503-2724. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Schneider, Thomas Russell can be contacted via phone (850) 477-8500.

Contact Information

Primary practice address
4501 N Davis Hwy Suite C Pensacola FL 32503-2724
Fax: (850) 477-8600
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME51893 Florida

Profile Details

NPI number 1699765149
LBN Legal business name Schneider, Thomas Russell
Credentials MD, FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2005
Last updated May 14th, 2012 - about 13 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 1699765149 NPPES
Florida MEDICAID 044650500

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