Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 2266 | OH |
NPI | 1457446197 |
---|---|
Provider Name | William J. Schneider |
First Address | North Lima, OH 44452-9506 |
Second Address | Warren, OH 44483-2663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0178230 | (05) | OH |
U57549 | (02) | OH |