Provider Demographics
NPI:1982432886
Name:SCHUMAKER, MAKENZIE J
Entity type:Individual
Prefix:
First Name:MAKENZIE
Middle Name:J
Last Name:SCHUMAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22211 COUNTY ROAD 124
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:OH
Mailing Address - Zip Code:43845-9657
Mailing Address - Country:US
Mailing Address - Phone:740-294-4077
Mailing Address - Fax:
Practice Address - Street 1:16738 DOG RD
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-9018
Practice Address - Country:US
Practice Address - Phone:740-502-8937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant