Provider Demographics
NPI:1760593552
Name:SCHEIRER, JEFFREY R (DO)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:R
Last Name:SCHEIRER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11101 CATHAGE RD.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811
Mailing Address - Country:US
Mailing Address - Phone:410-912-6104
Mailing Address - Fax:410-912-6105
Practice Address - Street 1:11101 CATHAGE RD.
Practice Address - Street 2:SUITE 102
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811
Practice Address - Country:US
Practice Address - Phone:410-912-6104
Practice Address - Fax:410-912-6105
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS006611L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD126909YTQOtherMEDICARE
PAE13508Medicare UPIN