Basic Information
Provider Information
NPI: 1326276668
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHEIBLER
FirstName: CHRISTOPHER
MiddleName: MARK
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 673 MDG/JBER
Address2: 5955 ZEAMER AVE
City: JBER
State: AK
PostalCode: 99506
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 673 MDG/JBER
Address2: 5955 ZEAMER AVE
City: JBER
State: AK
PostalCode: 99506
CountryCode: US
TelephoneNumber: 9075803205
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/25/2009
LastUpdateDate: 08/31/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083X0100X25837NEY Allopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine

No ID Information.


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