Schneidt, Kimberly S
Schneidt, Kimberly S is an individual health care provider with primary practice located at 421 S Landmark Ave , Bloomington IN 47403-5003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Schneidt, Kimberly S can be contacted via phone (812) 332-4468.Contact Information
Primary practice address
421 S Landmark Ave
Bloomington IN 47403-5003
Phone: (812) 332-4468
Fax: (812) 331-3311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10000808A | Indiana |
Profile Details
| NPI number | 1265530737 |
|---|---|
| LBN Legal business name | Schneidt, Kimberly S |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265530737 | NPPES |
| Indiana | Other | 1000808A | STATE LICENSE |
| Indiana | Other | 007377-1 | STATE LICENSE |
| Indiana | Other | AA10004294 | STATE LICENSE |
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