Provider Demographics
NPI:1275127201
Name:SCHREIBER, ZACHARY JAMES
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:JAMES
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19230 JAMESTOWN DR
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-1717
Mailing Address - Country:US
Mailing Address - Phone:301-331-8954
Mailing Address - Fax:
Practice Address - Street 1:19230 JAMESTOWN DR
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-1717
Practice Address - Country:US
Practice Address - Phone:301-331-8954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-20
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant