Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 07000689 | IN |
NPI | 1295908929 |
---|---|
Provider Name | Jeffrey Schabler |
First Address | Indianapolis, IN 46220-2311 |
Second Address | Indianapolis, IN 46220-2311 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 13/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U28557 | (02) |