Provider Demographics
NPI:1154357036
Name:SCHEUCH, PAUL A JR (ATC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:A
Last Name:SCHEUCH
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 350
Mailing Address - Street 2:517 CLINTON ST
Mailing Address - City:WAVERLY
Mailing Address - State:PA
Mailing Address - Zip Code:18471-0350
Mailing Address - Country:US
Mailing Address - Phone:570-563-2118
Mailing Address - Fax:
Practice Address - Street 1:517 CLINTON ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:PA
Practice Address - Zip Code:18471-0350
Practice Address - Country:US
Practice Address - Phone:570-563-2118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART000321A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer