Provider Demographics
NPI:1063738565
Name:MICHELE SCHNEIDER MD, LLC
Entity type:Organization
Organization Name:MICHELE SCHNEIDER MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:LAMOREUX
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-850-8456
Mailing Address - Street 1:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19373-0179
Mailing Address - Country:US
Mailing Address - Phone:215-850-8456
Mailing Address - Fax:
Practice Address - Street 1:33 REGENCY PLAZA
Practice Address - Street 2:871 BALTIMORE PIKE
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342
Practice Address - Country:US
Practice Address - Phone:215-850-8456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062197L261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care