Provider Demographics
NPI:1295248748
Name:SCHUMAN, JIM EDWARD
Entity type:Individual
Prefix:MR
First Name:JIM
Middle Name:EDWARD
Last Name:SCHUMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3568 DODGE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-3222
Mailing Address - Country:US
Mailing Address - Phone:402-201-3522
Mailing Address - Fax:
Practice Address - Street 1:3568 DODGE ST STE 2
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-3222
Practice Address - Country:US
Practice Address - Phone:402-201-3522
Practice Address - Fax:402-201-3522
Is Sole Proprietor?:No
Enumeration Date:2017-11-07
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist