Provider Demographics
NPI:1285800995
Name:SCHAUB, PHILIP CHARLES (RN)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:CHARLES
Last Name:SCHAUB
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BUILDING 5H
Mailing Address - Street 2:VA MARYLAND HEALTH CARE SYSTEM
Mailing Address - City:PERRY POINT
Mailing Address - State:MD
Mailing Address - Zip Code:21902
Mailing Address - Country:US
Mailing Address - Phone:410-642-1031
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 5H
Practice Address - Street 2:VA MARYLAND HEALTH CARE SYSTEM
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902
Practice Address - Country:US
Practice Address - Phone:410-642-1031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR091917163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator