Provider Demographics
NPI:1063571917
Name:SCHOONOVER, FRANCES W (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:W
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6412 WESTERN STAR RUN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1247
Mailing Address - Country:US
Mailing Address - Phone:410-531-1229
Mailing Address - Fax:
Practice Address - Street 1:6412 WESTERN STAR RUN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1247
Practice Address - Country:US
Practice Address - Phone:410-531-1229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0038783174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5961068 00Medicaid
MD5961068 00Medicaid