Provider Demographics
NPI:1629526371
Name:SCHAUF, ISAAC (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:SCHAUF
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13594 STATE HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:WI
Mailing Address - Zip Code:54656-4770
Mailing Address - Country:US
Mailing Address - Phone:608-633-4630
Mailing Address - Fax:
Practice Address - Street 1:13594 STATE HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:WI
Practice Address - Zip Code:54656-4770
Practice Address - Country:US
Practice Address - Phone:608-633-4630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAT-2928146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant