Basic Information
| Provider Information | |||||||||
| NPI: | 1588147276 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHEXNEIDER | ||||||||
| FirstName: | CAIN | ||||||||
| MiddleName: | CHRISTOPHER | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 324 W HALE ST | ||||||||
| Address2: | |||||||||
| City: | LAKE CHARLES | ||||||||
| State: | LA | ||||||||
| PostalCode: | 706018439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3374339177 | ||||||||
| FaxNumber: | 3374999173 | ||||||||
| Practice Location | |||||||||
| Address1: | 324 W HALE ST | ||||||||
| Address2: | |||||||||
| City: | LAKE CHARLES | ||||||||
| State: | LA | ||||||||
| PostalCode: | 706018439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3374339177 | ||||||||
| FaxNumber: | 3374339173 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/10/2018 | ||||||||
| LastUpdateDate: | 10/16/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | AP10141 | LA | Y | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.