Provider Demographics
NPI:1861629982
Name:SCHRAMM, DAVID B (IDMT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:B
Last Name:SCHRAMM
Suffix:
Gender:M
Credentials:IDMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 KESSLER BOULEVARD EAST DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2609
Mailing Address - Country:US
Mailing Address - Phone:317-910-1259
Mailing Address - Fax:
Practice Address - Street 1:2400 EAST DR
Practice Address - Street 2:932ND MEDICAL SQUADRON
Practice Address - City:SCOTT AFB
Practice Address - State:IL
Practice Address - Zip Code:62225-5408
Practice Address - Country:US
Practice Address - Phone:618-229-7221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
B1432738146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic