Roger A Schroeder
Obstetrician
400 Maple Summit Rd
Jerseyville
, Illinois 62052-2028
Roger A Schroeder
Obstetrician
400 Maple Summit Rd
Jerseyville
, Illinois 62052-2028
(618) 498-8496
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Roger A Schroeder
- Po Box 426
- Jerseyville, IL
- Zip : 62052-0426
- Fax : (618) 498-8496
- Phone : (618) 498-3612
Second Address
- Roger A Schroeder
- 400 Maple Summit Rd
- Jerseyville, IL
- Zip : 62052-2028
- Phone : (618) 498-3612
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | IL |
National Provider Identifier
| NPI | 1063496750 |
|---|---|
| Provider Name | Roger A Schroeder |
| First Address | Jerseyville, IL 62052-0426 |
| Second Address | Jerseyville, IL 62052-2028 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D15137 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.