Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | DD2684 | NM |
N | 213EG0000X | General Practice | DD2684 | NM |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2003012137 | MO |
NPI | 1093862997 |
---|---|
Provider Name | Steven Ronald Schoolman |
First Address | Cape Girardeau, MO 63701 |
Second Address | Cape Girardeau, MO 63701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 09/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1005782 | DORAL (01) | NM |
1774306 | UNITED CONCORDIA (01) | NM |
87376326 | (05) | NM |