Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 35062277-S | OH |
Y | 213ES0000X | Sports Medicine | 35062277-S | OH |
NPI | 1275529885 |
---|---|
Provider Name | Dr. John Edward Schnell |
First Address | Brecksville, OH 44141-0220 |
Second Address | Strongsville, OH 44136-5026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 16/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250009969 | RR MEDICARE (01) | OH |
2859036 | (05) | OH |
F05752 | (02) | OH |