Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | C10011715 | DE |
N | 207PP0204X | Pediatric Emergency Physician | MD458039 | PA |
Y | 208000000X | Pediatrician | C10011715 | DE |
N | 208000000X | Pediatrician | MD458039 | PA |
NPI | 1396060695 |
---|---|
Provider Name | John Edward Schneider |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2010 |
Last Update Date | 17/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0528820 | (05) | NJ |
103452257 | (05) | PA |
1120361-00 | (05) | MD |
1396060695 | (05) | DE |