Provider Demographics
NPI:1245020775
Name:SCHUERMAN, NOAH
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:SCHUERMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 N. BELLE ST
Mailing Address - Street 2:BOX 132
Mailing Address - City:PECK
Mailing Address - State:ID
Mailing Address - Zip Code:83545
Mailing Address - Country:US
Mailing Address - Phone:208-792-1167
Mailing Address - Fax:
Practice Address - Street 1:155 MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:OROFINO
Practice Address - State:ID
Practice Address - Zip Code:83544
Practice Address - Country:US
Practice Address - Phone:208-746-4097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator