Provider Demographics
NPI:1275713869
Name:SCHNAIBLE, JEANNE M (RT)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:M
Last Name:SCHNAIBLE
Suffix:
Gender:F
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4600 LOOKOUT TRL
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-4216
Mailing Address - Country:US
Mailing Address - Phone:701-258-1252
Mailing Address - Fax:
Practice Address - Street 1:4600 LOOKOUT TRL
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-4216
Practice Address - Country:US
Practice Address - Phone:701-258-1252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M2300XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMammography