Provider Demographics
NPI:1174826069
Name:JON L. SCHRINER, D.O PC
Entity Type:Organization
Organization Name:JON L. SCHRINER, D.O PC
Other - Org Name:JON L. SCHRINER D.O
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-732-4009
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-0570
Mailing Address - Country:US
Mailing Address - Phone:810-732-4007
Mailing Address - Fax:810-732-5559
Practice Address - Street 1:G-6045 WEST PIERSON RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433
Practice Address - Country:US
Practice Address - Phone:810-732-4007
Practice Address - Fax:810-732-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJS005206385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
E26175OtherUPIN
1902951809OtherNPI
E26175OtherUPIN