Provider Demographics
NPI:1619923182
Name:SCHICK, PATRICIA ANN
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:SCHICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4341 RIVERVIEW RD
Mailing Address - Street 2:APT 144
Mailing Address - City:PENINSULA
Mailing Address - State:OH
Mailing Address - Zip Code:44264-9637
Mailing Address - Country:US
Mailing Address - Phone:330-670-1194
Mailing Address - Fax:
Practice Address - Street 1:4341 RIVERVIEW RD
Practice Address - Street 2:APT 144
Practice Address - City:PENINSULA
Practice Address - State:OH
Practice Address - Zip Code:44264-9637
Practice Address - Country:US
Practice Address - Phone:330-670-1194
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2276611Medicaid