Provider Demographics
NPI:1104222702
Name:SCHRIEFER WILLIAMS, JENNIFER (MT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SCHRIEFER WILLIAMS
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25871 BELHAVEN ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-2590
Mailing Address - Country:US
Mailing Address - Phone:510-274-7336
Mailing Address - Fax:
Practice Address - Street 1:797 ARGUELLO ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1357
Practice Address - Country:US
Practice Address - Phone:650-365-5240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48783208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation