Provider Demographics
NPI:1235879693
Name:SCHNETTLER, RAINA
Entity Type:Individual
Prefix:MRS
First Name:RAINA
Middle Name:
Last Name:SCHNETTLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-5707
Mailing Address - Country:US
Mailing Address - Phone:610-972-7403
Mailing Address - Fax:
Practice Address - Street 1:2240 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-3601
Practice Address - Country:US
Practice Address - Phone:610-861-7494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
Provider Identifiers
StateIdentifier IDID TypeIssuer
06082018OtherIMMUNIZING