Provider Demographics
NPI:1639624356
Name:SCHUMACHER, CORTNEY M
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:M
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CORTNEY
Other - Middle Name:M
Other - Last Name:SCHUMACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EMT-P
Mailing Address - Street 1:306 PROFESSIONAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-2939
Mailing Address - Country:US
Mailing Address - Phone:217-343-9061
Mailing Address - Fax:
Practice Address - Street 1:306 PROFESSIONAL PARK AVE
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-2939
Practice Address - Country:US
Practice Address - Phone:217-343-9061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060268588146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic