Provider Demographics
NPI:1295727998
Name:SCHIEFELBEIN, RICHARD ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:ARTHUR
Last Name:SCHIEFELBEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2071 BROADCREST CT
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-8216
Mailing Address - Country:US
Mailing Address - Phone:509-662-1511
Mailing Address - Fax:509-665-6022
Practice Address - Street 1:1201 S MILLER ST
Practice Address - Street 2:CENTRAL WASHINGTON HOSPITAL
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3201
Practice Address - Country:US
Practice Address - Phone:509-662-1511
Practice Address - Fax:509-665-6022
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00013133174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1146307Medicaid
WAF04574Medicare UPIN
WAAB02372Medicare ID - Type Unspecified