Provider Demographics
NPI:1437462439
Name:SCHLUMBOHM, CRAIG ALAN (BC -HIS)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:ALAN
Last Name:SCHLUMBOHM
Suffix:
Gender:M
Credentials:BC -HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 S MAIN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-2946
Mailing Address - Country:US
Mailing Address - Phone:828-286-9399
Mailing Address - Fax:828-286-3049
Practice Address - Street 1:431 S MAIN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2946
Practice Address - Country:US
Practice Address - Phone:828-286-9399
Practice Address - Fax:828-286-3049
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1365237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist