Provider Demographics
NPI:1174673925
Name:SCHUMACHER & DALTON ENTERPRISES
Entity Type:Organization
Organization Name:SCHUMACHER & DALTON ENTERPRISES
Other - Org Name:EFFINGHAM TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-342-3119
Mailing Address - Street 1:210 W NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-0259
Mailing Address - Country:US
Mailing Address - Phone:217-342-3119
Mailing Address - Fax:217-342-3156
Practice Address - Street 1:210 W NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-2549
Practice Address - Country:US
Practice Address - Phone:217-342-3119
Practice Address - Fax:217-342-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILS526-7905-8138344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid