Provider Demographics
NPI:1154923274
Name:SCHAAL, CRYSTAL RENEA
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:RENEA
Last Name:SCHAAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 NOBLE ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:OH
Mailing Address - Zip Code:43906-1456
Mailing Address - Country:US
Mailing Address - Phone:740-340-4851
Mailing Address - Fax:
Practice Address - Street 1:4711 NOBLE ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:OH
Practice Address - Zip Code:43906-1456
Practice Address - Country:US
Practice Address - Phone:740-340-4851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide