Provider Demographics
NPI:1659102002
Name:SCHANES, CHRISTAL
Entity type:Individual
Prefix:
First Name:CHRISTAL
Middle Name:
Last Name:SCHANES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537A N TRADE ST STE A
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-2914
Mailing Address - Country:US
Mailing Address - Phone:336-577-0157
Mailing Address - Fax:
Practice Address - Street 1:537A N TRADE ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-2914
Practice Address - Country:US
Practice Address - Phone:336-577-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier