Provider Demographics
NPI:1891710810
Name:DAVID SCHREINER
Entity Type:Organization
Organization Name:DAVID SCHREINER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER BILLING
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCANLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-843-0783
Mailing Address - Street 1:611 S CARLIN SPRINGS ROAD
Mailing Address - Street 2:SUITE 405
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204
Mailing Address - Country:US
Mailing Address - Phone:703-379-5757
Mailing Address - Fax:703-820-7207
Practice Address - Street 1:611 S CARLIN SPRINGS ROAD
Practice Address - Street 2:SUITE 405
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204
Practice Address - Country:US
Practice Address - Phone:703-379-5757
Practice Address - Fax:703-820-7207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0617OtherCAREFIRST BCBS
0617OtherCAREFIRST BCBS
G00800Medicare PIN