Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 2171 | MA |
N | 222Z00000X | Podiatrist | 2171 | MA |
N | 213ES0131X | Foot Surgery | 2171 | MA |
NPI | 1285653782 |
---|---|
Provider Name | Dr. John Andrew Scheffel |
First Address | Worcester, MA 01604-4435 |
Second Address | Worcester, MA 01604-4435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0324183 | (05) | MA |
U85981 | (02) | MA |