Basic Information
Provider Information
NPI: 1700110244
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHLEGEL
FirstName: RUTH
MiddleName: DARLENE
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1138 GEORGETOWN ROAD
Address2: PO BOX 152
City: BART
State: PA
PostalCode: 175030152
CountryCode: US
TelephoneNumber: 7177865506
FaxNumber: 7177865507
Practice Location
Address1: 1138 GEORGETOWN ROAD
Address2:  
City: BART
State: PA
PostalCode: 17503
CountryCode: US
TelephoneNumber: 7177865506
FaxNumber: 7177865507
Other Information
ProviderEnumerationDate: 10/01/2009
LastUpdateDate: 10/01/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000XMW008481LPAY Other Service ProvidersMidwife 

No ID Information.


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