Provider Demographics
NPI:1821001298
Name:SCHIEBER, BYRON EDWARD (PA-C)
Entity Type:Individual
Prefix:DR
First Name:BYRON
Middle Name:EDWARD
Last Name:SCHIEBER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 BARBARA LN
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-1606
Mailing Address - Country:US
Mailing Address - Phone:484-552-8059
Mailing Address - Fax:
Practice Address - Street 1:81 CONSTELLATION CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057-5086
Practice Address - Country:US
Practice Address - Phone:717-948-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA001838-L363A00000X
NY05503-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant