Provider Demographics
NPI:1144225434
Name:SCHUMACHER, CAROL J (CNP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MATTHEW ST
Mailing Address - Street 2:ATTN: CASHIERS
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1635
Mailing Address - Country:US
Mailing Address - Phone:740-374-1413
Mailing Address - Fax:740-376-5078
Practice Address - Street 1:108 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43793-1023
Practice Address - Country:US
Practice Address - Phone:740-472-1330
Practice Address - Fax:740-472-1336
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.05662.NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2252977Medicaid
OHP01514295OtherRAILROAD MEDICARE
WV7102161000Medicaid
OH000000652916OtherANTHEM
OHNP08303Medicare PIN
OH6039301Medicare PIN
OH000000652916OtherANTHEM