1679614960 NPI number — MS. DONNA G SCHLEPER A.P.N.,C

Table of content: MS. DONNA G SCHLEPER A.P.N.,C (NPI 1679614960)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679614960 NPI number — MS. DONNA G SCHLEPER A.P.N.,C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHLEPER
Provider First Name:
DONNA
Provider Middle Name:
G
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
A.P.N.,C
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:
1679614960
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
27 4TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROEBLING
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08554-1007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-499-2655
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PRINCETON UNIVERSITY HEALTH SERVICE
Provider Second Line Business Practice Location Address:
WASHINGTON ROAD
Provider Business Practice Location Address City Name:
PRINCETON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08544-1004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-258-1195
Provider Business Practice Location Address Fax Number:
609-258-0842
Provider Enumeration Date:
02/09/2007

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: 163WC1400X , with the licence number:  26NN04835300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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