Provider Demographics
NPI:1629188552
Name:SCHNEIDER, HOWARD AVERY (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:AVERY
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1331 PRAIRIE AVE
Mailing Address - Street 2:2
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-4867
Mailing Address - Country:US
Mailing Address - Phone:307-632-1957
Mailing Address - Fax:307-637-1522
Practice Address - Street 1:1331 PRAIRIE AVE
Practice Address - Street 2:2
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-4867
Practice Address - Country:US
Practice Address - Phone:307-632-1957
Practice Address - Fax:307-634-6754
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WY6628A207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY127241100Medicaid
NE10025711100Medicaid
NE10025711100Medicaid
WYW22348Medicare PIN