Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | MD042419E | PA |
Y | 207WX0107X | Retina Specialist | MD042419E | PA |
NPI | 1003875980 |
---|---|
Provider Name | Gabrielle Schoeppner |
First Address | Easton, PA 18045-8338 |
Second Address | Easton, PA 18045-8338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 30/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03120301 | CAPITAL BLUE CROSS (01) | PA |
1196431 | (05) | PA |
180007320 | RAILROAD MEDICARE (01) | PA |
232565428 | UNITED HEALTHCARE (01) | PA |
2645590 | AETNA (01) | PA |
3991556 | CIGNA (01) | PA |
505137 | HIGHMARK BLUE SHIELD (01) | PA |
E21995 | (02) | PA |