Provider Demographics
NPI:1043335771
Name:DANIEL R. SCHUMAIER
Entity Type:Organization
Organization Name:DANIEL R. SCHUMAIER
Other - Org Name:KINGSPORT HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAYNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MILLER-FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:423-247-5771
Mailing Address - Street 1:1103 N EASTMAN RD
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37664-3156
Mailing Address - Country:US
Mailing Address - Phone:423-247-5771
Mailing Address - Fax:423-247-5775
Practice Address - Street 1:1103 N EASTMAN RD
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37664-3156
Practice Address - Country:US
Practice Address - Phone:423-247-5771
Practice Address - Fax:423-247-5775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000000198231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3192799Medicare PIN