Provider Demographics
NPI:1073771820
Name:JOSEPH B. SCHNITTKER, MD, PC
Entity Type:Organization
Organization Name:JOSEPH B. SCHNITTKER, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHNITTKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:574-251-3406
Mailing Address - Street 1:500 ARCADE AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-2477
Mailing Address - Country:US
Mailing Address - Phone:574-251-3406
Mailing Address - Fax:574-232-2064
Practice Address - Street 1:500 ARCADE AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-2477
Practice Address - Country:US
Practice Address - Phone:574-251-3406
Practice Address - Fax:574-232-2064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01046036A207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty