Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 48988 | MA |
N | 2080P0208X | Pediatric Infectious Diseases | 48988 | MA |
Y | 2080P0208X | Pediatric Infectious Diseases | 64058 | CT |
N | 2080P0208X | Pediatric Infectious Diseases | 67425 | WI |
NPI | 1518049022 |
---|---|
Provider Name | Dr. John Robert Schreiber |
First Address | Hartford, CT 06106-3322 |
Second Address | Hartford, CT 06106-3322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 07/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0079822 | (05) | MT |
0079832 | (05) | MT |
0597468 | (05) | IA |
1042021 | PREFERRED ONE (01) | MN |
132251 | UCARE (01) | MN |
1518049022 | (05) | WI |
2213941 | ARAZ (01) | MN |
34565100 | (05) | WI |
547407800 | (05) | MN |
604R0SC | BLUE CROSS BLUE SHIELD (01) | MN |
9200168 | MEDICA CHOICE (01) | MN |
92-12094 | MEDICA PRIMARY (01) | MN |
B99122 | (02) | |
HP45306 | HEALTH PARTNERS (01) | MN |