1023305794 NPI number — DR. JESSICA LYNN HAMILL SCHINDLER D.O.

Table of content: DR. JESSICA LYNN HAMILL SCHINDLER D.O. (NPI 1023305794)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023305794 NPI number — DR. JESSICA LYNN HAMILL SCHINDLER D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMILL SCHINDLER
Provider First Name:
JESSICA
Provider Middle Name:
LYNN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023305794
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2670W JACKSON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GULLIVER
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49840-9043
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-521-1883
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1234 NAPIER AVE
Provider Second Line Business Practice Location Address:
LAKELAND REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
SAINT JOSEPH
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49085
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-982-4941
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/01/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  5101019512 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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