Provider Demographics
NPI:1508665704
Name:SCHEATZLE, PATRICK DAVID
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:DAVID
Last Name:SCHEATZLE
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 1:6724 CHATSWORTH ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3851
Mailing Address - Country:US
Mailing Address - Phone:330-495-4750
Mailing Address - Fax:
Practice Address - Street 1:191 W UNION ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2732
Practice Address - Country:US
Practice Address - Phone:740-593-2158
Practice Address - Fax:740-593-2399
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program