Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 01020512 | IN |
NPI | 1053355057 |
---|---|
Provider Name | James A Scheidler |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46254-5475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 11/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100047630 | (05) | IN |
D95649 | (02) | IN |