Provider Demographics
NPI:1689785578
Name:SCHREIBER, JONATHAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:L
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:885 KEMPSVILLE RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3800
Mailing Address - Country:US
Mailing Address - Phone:757-461-1033
Mailing Address - Fax:757-299-4949
Practice Address - Street 1:885 KEMPSVILLE RD
Practice Address - Street 2:SUITE 309
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3800
Practice Address - Country:US
Practice Address - Phone:757-461-1033
Practice Address - Fax:757-299-4949
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101232675207N00000X
NC200200796207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology