Provider Demographics
NPI:1356427355
Name:SCHONDORFER, HENRY E (PRESIDENT, CP)
Entity type:Individual
Prefix:MR
First Name:HENRY
Middle Name:E
Last Name:SCHONDORFER
Suffix:
Gender:M
Credentials:PRESIDENT, CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 ALLEN STREET
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5025
Mailing Address - Country:US
Mailing Address - Phone:610-437-2254
Mailing Address - Fax:610-437-4091
Practice Address - Street 1:1808 ALLEN STREET
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5025
Practice Address - Country:US
Practice Address - Phone:610-437-2254
Practice Address - Fax:610-437-4091
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAQW138901744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0608930001Medicare NSC