Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC003651L | PA |
N | 111NN0400X | Neurology | DL003651L | PA |
NPI | 1700954864 |
---|---|
Provider Name | Dr. Joseph Richard Schneider |
First Address | Chadds Ford, PA 19317-9672 |
Second Address | Chadds Ford, PA 19317-9672 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 29/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1070470 | (05) | PA |
U02086 | (02) | PA |