Provider Demographics
NPI:1316086481
Name:SCHNEIDER, MICHAEL PHILIP (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PHILIP
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 NICE CT
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-2917
Mailing Address - Country:US
Mailing Address - Phone:805-985-6683
Mailing Address - Fax:805-985-6683
Practice Address - Street 1:4035 NICE CT
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035-2917
Practice Address - Country:US
Practice Address - Phone:805-985-6683
Practice Address - Fax:805-985-6683
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC35839Medicare UPIN