Provider Demographics
NPI:1386978666
Name:SCHREINER, MARK E (RT)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:E
Last Name:SCHREINER
Suffix:
Gender:M
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 IROQUOIS RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL
Mailing Address - State:AR
Mailing Address - Zip Code:71968-8772
Mailing Address - Country:US
Mailing Address - Phone:501-282-9918
Mailing Address - Fax:
Practice Address - Street 1:349 IROQUOIS RD
Practice Address - Street 2:
Practice Address - City:ROYAL
Practice Address - State:AR
Practice Address - Zip Code:71968-8772
Practice Address - Country:US
Practice Address - Phone:501-282-9918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-20
Last Update Date:2009-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARRT5301247100000X, 2471B0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
No2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone Densitometry