Provider Demographics
NPI:1568937290
Name:SCHWABE, SHAWN LEE (PA-C)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:LEE
Last Name:SCHWABE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S BLAIRSFERRY XING
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-7988
Mailing Address - Country:US
Mailing Address - Phone:319-393-0783
Mailing Address - Fax:
Practice Address - Street 1:400 S BLAIRSFERRY XING
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-7988
Practice Address - Country:US
Practice Address - Phone:319-393-0783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA098417363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical