Schroeder, John Wr

Schroeder, John Wr is an individual health care provider with primary practice located at 4816A Ne Thurston Way , Vancouver WA 98662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Schroeder, John Wr can be contacted via phone (360) 254-4914.

Contact Information

Primary practice address
4816A Ne Thurston Way Vancouver WA 98662
Fax: (360) 449-4961
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD0028235 Washington

Profile Details

NPI number 1154325181
LBN Legal business name Schroeder, John Wr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Sep 18th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154325181 NPPES
Washington MEDICAID 8198582

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