Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 26707 | KY |
N | 2080P0202X | Pediatric Cardiologist | 49579 | WI |
NPI | 1194757948 |
---|---|
Provider Name | Dr. Douglas James Schneider |
First Address | Lexington, KY 40536-0298 |
Second Address | Lexington, KY 40536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 20/09/2013 |