Provider Demographics
NPI:1205052099
Name:SCHULMAN, EVE JASMINE (PA)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:JASMINE
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 SOQUEL DR
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3225
Mailing Address - Country:US
Mailing Address - Phone:831-662-3611
Mailing Address - Fax:831-662-0713
Practice Address - Street 1:6800 SOQUEL DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3225
Practice Address - Country:US
Practice Address - Phone:831-662-3611
Practice Address - Fax:831-662-0713
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101495363A00000X
CA51633363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC101495OtherPA LICENSE
NC2755481AMedicare PIN
NC101495OtherPA LICENSE
NC2755481EMedicare PIN
NC2755481BMedicare PIN
NC2755481DMedicare PIN