Provider Demographics
NPI:1568900710
Name:SCHOELWER, AMY (MED, RD,LD)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:SCHOELWER
Suffix:
Gender:F
Credentials:MED, RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 MARINERS CV
Mailing Address - Street 2:
Mailing Address - City:VERMILION
Mailing Address - State:OH
Mailing Address - Zip Code:44089-2895
Mailing Address - Country:US
Mailing Address - Phone:419-602-1381
Mailing Address - Fax:
Practice Address - Street 1:48 MARINERS CV
Practice Address - Street 2:
Practice Address - City:VERMILION
Practice Address - State:OH
Practice Address - Zip Code:44089-2895
Practice Address - Country:US
Practice Address - Phone:419-602-1381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3330133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered