Provider Demographics
NPI:1992844385
Name:SCHUMACHER, JILL ANN (SA-C)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:ANN
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 90TH ST
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-0181
Mailing Address - Country:US
Mailing Address - Phone:715-839-9077
Mailing Address - Fax:
Practice Address - Street 1:2265 90TH ST
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-0181
Practice Address - Country:US
Practice Address - Phone:715-839-9077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical