Schroeder, George S
Schroeder, George S is an individual health care provider with primary practice located at 1000 Eastern Ave , Plymouth WI 53073-1921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schroeder, George S can be contacted via phone (920) 893-0526.Contact Information
Primary practice address
1000 Eastern Ave
Plymouth WI 53073-1921
Phone: (920) 893-0526
Fax: (920) 893-9409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23231020 | Wisconsin |
Profile Details
| NPI number | 1518953249 |
|---|---|
| LBN Legal business name | Schroeder, George S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jun 11th, 2013 - about 12 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 | 1518953249 | NPPES |
| Wisconsin | MEDICAID | 30346400 |
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