Provider Demographics
NPI:1821042219
Name:SCHAEPPER, JOHANNES (CPO)
Entity Type:Individual
Prefix:MR
First Name:JOHANNES
Middle Name:
Last Name:SCHAEPPER
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:MR
Other - First Name:HANS
Other - Middle Name:
Other - Last Name:SCHAEPPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPO
Mailing Address - Street 1:519 N SMITH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92880-6911
Mailing Address - Country:US
Mailing Address - Phone:951-582-0153
Mailing Address - Fax:951-582-0135
Practice Address - Street 1:519 N SMITH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92880-6911
Practice Address - Country:US
Practice Address - Phone:951-582-0153
Practice Address - Fax:951-582-0135
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management