Provider Demographics
NPI:1134195290
Name:SCHNEIDER, JILL (MD)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1330 POWELL STREET
Mailing Address - Street 2:SUITE 610
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401
Mailing Address - Country:US
Mailing Address - Phone:610-270-2770
Mailing Address - Fax:610-270-2620
Practice Address - Street 1:1330 POWELL STREET
Practice Address - Street 2:SUITE 610
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:610-270-2770
Practice Address - Fax:610-270-2620
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2022-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD027966E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0053208000OtherKEYSTONE
152502OtherBLUES
152502OtherBLUES
C32040Medicare UPIN