1386745511 NPI number — MR. STEPHEN F SCHALL MS PT OCS

Table of content: MR. STEPHEN F SCHALL MS PT OCS (NPI 1386745511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386745511 NPI number — MR. STEPHEN F SCHALL MS PT OCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHALL
Provider First Name:
STEPHEN
Provider Middle Name:
F
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MS PT OCS
Provider Gender Code:
M

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:
1386745511
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/09/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1300 WATERSEDGE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIRGINIA BEACH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23452
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-463-4571
Provider Business Mailing Address Fax Number:
757-459-2421

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
839 POPLAR HALL DR
Provider Second Line Business Practice Location Address:
NORFOLK PHYSICAL THERAPY CENTER
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-459-2112
Provider Business Practice Location Address Fax Number:
757-459-2421
Provider Enumeration Date:
09/26/2006

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: 225100000X , with the licence number:  2305003104 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 650011303 . This is a "RR MC" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 192433 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".