Provider Demographics
NPI:1639368574
Name:SCHONEMAN, EMILY JOANNE (LMP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JOANNE
Last Name:SCHONEMAN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 MERRILL CREEK PKWY
Mailing Address - Street 2:#12-31
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-7106
Mailing Address - Country:US
Mailing Address - Phone:425-322-4217
Mailing Address - Fax:
Practice Address - Street 1:1707 MERRILL CREEK PKWY
Practice Address - Street 2:#12-31
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-7106
Practice Address - Country:US
Practice Address - Phone:425-322-4217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021197174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist