Provider Demographics
NPI:1417041872
Name:SCHEE, JON E
Entity type:Individual
Prefix:
First Name:JON
Middle Name:E
Last Name:SCHEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 PENINSULA ROAD
Mailing Address - Street 2:
Mailing Address - City:MEDICINE LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55441
Mailing Address - Country:US
Mailing Address - Phone:763-542-8028
Mailing Address - Fax:
Practice Address - Street 1:3366 OAKDALE AVE N STE 150
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-2978
Practice Address - Country:US
Practice Address - Phone:763-233-5755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5867237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN850829100Medicaid