Basic Information
| Provider Information | |||||||||
| NPI: | 1659625598 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SCHINDLER MEDICAL LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3665 MIKE DR | ||||||||
| Address2: | B | ||||||||
| City: | MORRISTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378131249 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4236080580 | ||||||||
| FaxNumber: | 8656746401 | ||||||||
| Practice Location | |||||||||
| Address1: | 1721 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WHITE PINE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378903303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8656746400 | ||||||||
| FaxNumber: | 8656746401 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2012 | ||||||||
| LastUpdateDate: | 10/30/2012 | ||||||||
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| AuthorizedOfficialLastName: | SCHINDLER | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | BRIAN | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4236080580 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35330 | TN | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.