Provider Demographics
NPI:1295864015
Name:SCHREIBER, JAMES GUS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GUS
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 SE RIVERSIDE DR # C
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47713-1038
Mailing Address - Country:US
Mailing Address - Phone:812-423-3144
Mailing Address - Fax:
Practice Address - Street 1:414 SE RIVERSIDE DR # C
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47713-1038
Practice Address - Country:US
Practice Address - Phone:812-423-3144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01063271A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry