Provider Demographics
NPI:1003927708
Name:SCHNEIDER, EILEEN F (AT,C)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:F
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 LOCKTOWN SERGEANTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08559-1115
Mailing Address - Country:US
Mailing Address - Phone:908-806-8831
Mailing Address - Fax:
Practice Address - Street 1:10 NOE RD
Practice Address - Street 2:
Practice Address - City:BLAIRSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07825-9360
Practice Address - Country:US
Practice Address - Phone:908-362-8211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT000520002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer