1962843656 NPI number — MRS. LINDSAY CORINNE SCHROETER CPNP

Table of content: MRS. LINDSAY CORINNE SCHROETER CPNP (NPI 1962843656)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962843656 NPI number — MRS. LINDSAY CORINNE SCHROETER CPNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHROETER
Provider First Name:
LINDSAY
Provider Middle Name:
CORINNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CPNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHROETER
Provider Other First Name:
LINDSAY
Provider Other Middle Name:
CONNIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1962843656
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 PERKINS SQ
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44308-1063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-543-6060
Provider Business Mailing Address Fax Number:
330-543-6069

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 PERKINS SQ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44308-1063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-543-6060
Provider Business Practice Location Address Fax Number:
330-543-6069
Provider Enumeration Date:
07/10/2013

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: 363L00000X , with the licence number:  COA.14793-NP , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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