Provider Demographics
NPI:1154047256
Name:SCHLOEMER, JEWEL (LM)
Entity type:Individual
Prefix:
First Name:JEWEL
Middle Name:
Last Name:SCHLOEMER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13875 BEST RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-4766
Mailing Address - Country:US
Mailing Address - Phone:360-421-5395
Mailing Address - Fax:
Practice Address - Street 1:13875 BEST RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-4766
Practice Address - Country:US
Practice Address - Phone:360-421-5395
Practice Address - Fax:888-388-2567
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW61327533176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMW61327533OtherMIDWIFE LICENSE NUMBER