Provider Demographics
NPI:1598289654
Name:SCHOPMEYER, ERIC (CO)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:SCHOPMEYER
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17530 DUGDALE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1583
Mailing Address - Country:US
Mailing Address - Phone:574-233-3352
Mailing Address - Fax:
Practice Address - Street 1:17530 DUGDALE DR
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46635-1583
Practice Address - Country:US
Practice Address - Phone:574-233-3352
Practice Address - Fax:574-233-3352
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2017-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist