Provider Demographics
NPI:1952331373
Name:SCHNEIDER, AMY (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-5736
Mailing Address - Country:US
Mailing Address - Phone:603-526-5544
Mailing Address - Fax:603-526-8646
Practice Address - Street 1:273 COUNTY RD
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257
Practice Address - Country:US
Practice Address - Phone:603-526-5544
Practice Address - Fax:603-526-8646
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30205086Medicaid
NH0108948YPNH02OtherANTHEM
NH3416830OtherAETAN
NHD03384OtherHARVARD PILGRIM
NH1851OtherCIGNA
NH30205086Medicaid
NH3416830OtherAETAN