Provider Demographics
NPI:1942305495
Name:SCHNEPP, ERIN E (DO)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:SCHNEPP
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:UPLAND
Mailing Address - State:PA
Mailing Address - Zip Code:19013
Mailing Address - Country:US
Mailing Address - Phone:610-619-7410
Mailing Address - Fax:610-876-8483
Practice Address - Street 1:30 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:UPLAND
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:610-619-7410
Practice Address - Fax:610-876-8483
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB0790700208000000X
PAOS014896208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0113883Medicaid
NJ2748815OtherUNITED HEALTHCARE
NJ5267867OtherCIGNA
NJ60026731OtherHORIZON NJ HEALTH
NJ7345791OtherAETNA
NJ010077993OtherAMERICHOICE
NJ60026729OtherHORIZON NJ HEALTH
NJ60026730OtherHORIZON NJ HEALTH
NJP3722885OtherOXFORD
NJ2778585000OtherAMERIHEALTH/KEYSTONE/IBC
NJ3K6025OtherHEALTHNET
NJ60036739OtherHORIZON NJ HEALTH
NJ0113883Medicaid