Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 20439 | AL |
N | 2081P2900X | Pain Medicine | 20439 | AL |
NPI | 1073514154 |
---|---|
Provider Name | Dr. Edward M Schnitzer |
First Address | Mobile, AL 36609-1987 |
Second Address | Mobile, AL 36609-1987 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 28/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E44653 | (02) | AL |