Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 18182 | CA |
N | 111NR0200X | Radiology | 18182 | CA |
N | 213ER0200X | Radiology | 18182 | CA |
NPI | 1114075256 |
---|---|
Provider Name | Dr. Paul Schroeder |
First Address | Fresno, CA 93710-5476 |
Second Address | Fresno, CA 93710-5476 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/07/2007 |