Provider Demographics
NPI:1609033117
Name:SCHOTT, CHERE L (LPN)
Entity Type:Individual
Prefix:
First Name:CHERE
Middle Name:L
Last Name:SCHOTT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 STATE HIGHWAY 7
Mailing Address - Street 2:LOT 23
Mailing Address - City:UNADILLA
Mailing Address - State:NY
Mailing Address - Zip Code:13849-3113
Mailing Address - Country:US
Mailing Address - Phone:607-563-9092
Mailing Address - Fax:
Practice Address - Street 1:675 STATE HIGHWAY 7
Practice Address - Street 2:LOT 23
Practice Address - City:UNADILLA
Practice Address - State:NY
Practice Address - Zip Code:13849-3113
Practice Address - Country:US
Practice Address - Phone:607-563-9092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283974-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02916916Medicaid