Provider Demographics
NPI:1447216056
Name:SCHNEIDERS, MARY LOUISE ANNE (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARY LOUISE
Middle Name:ANNE
Last Name:SCHNEIDERS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:ERDENHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:19038-8238
Mailing Address - Country:US
Mailing Address - Phone:215-233-5170
Mailing Address - Fax:215-233-5170
Practice Address - Street 1:300 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:ERDENHEIM
Practice Address - State:PA
Practice Address - Zip Code:19038-8238
Practice Address - Country:US
Practice Address - Phone:215-233-5170
Practice Address - Fax:215-233-5170
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002497L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014856860001Medicaid
T28497Medicare UPIN
PA5560650001Medicare NSC
PASC096023Medicare PIN