Provider Demographics
NPI:1699213918
Name:SCHUMACHER, MATT ALAN
Entity Type:Individual
Prefix:MR
First Name:MATT
Middle Name:ALAN
Last Name:SCHUMACHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 CANE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EFLAND
Mailing Address - State:NC
Mailing Address - Zip Code:27243-9494
Mailing Address - Country:US
Mailing Address - Phone:919-316-0553
Mailing Address - Fax:
Practice Address - Street 1:1050 CANE RIDGE RD
Practice Address - Street 2:
Practice Address - City:EFLAND
Practice Address - State:NC
Practice Address - Zip Code:27243
Practice Address - Country:US
Practice Address - Phone:919-316-0553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer