Provider Demographics
NPI:1376550459
Name:SCHICK, HAROLD L JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:L
Last Name:SCHICK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:436 E YOSEMITE AVE
Mailing Address - Street 2:STE A
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8489
Mailing Address - Country:US
Mailing Address - Phone:209-383-4200
Mailing Address - Fax:209-388-0629
Practice Address - Street 1:436 E YOSEMITE AVE
Practice Address - Street 2:STE A
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8489
Practice Address - Country:US
Practice Address - Phone:209-383-4200
Practice Address - Fax:209-388-0629
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2013-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA00A253631174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA94-2775249OtherTAX ID
CA180043023OtherRAILROAD MEDICARE
CA180043023OtherRAILROAD MEDICARE
CAA24406Medicare UPIN