Basic Information
| Provider Information | |||||||||
| NPI: | 1558399428 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHADLER | ||||||||
| FirstName: | EUGENE | ||||||||
| MiddleName: | FRANCIS | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | LCSW | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 6221 PHYSICIANS CT | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477154031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124917739 | ||||||||
| FaxNumber: | 8124913242 | ||||||||
| Practice Location | |||||||||
| Address1: | 6221 PHYSICIANS CT | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477154031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124917739 | ||||||||
| FaxNumber: | 8124913242 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 34003229A | IN | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | KY-852 | KY | N | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.