Provider Demographics
NPI:1588775894
Name:SCHEFFER, ERICA D (MD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:D
Last Name:SCHEFFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1502 WARD AVE
Mailing Address - Street 2:
Mailing Address - City:CARUTHERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63830-2571
Mailing Address - Country:US
Mailing Address - Phone:573-333-4244
Mailing Address - Fax:573-333-4552
Practice Address - Street 1:1504 YELLOW TWIG LN
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-2955
Practice Address - Country:US
Practice Address - Phone:573-359-4336
Practice Address - Fax:573-333-4665
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN0106264A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H75393Medicare UPIN