Provider Demographics
NPI:1720311756
Name:SCHEFFLER, JANE ANNE (ATC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ANNE
Last Name:SCHEFFLER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-5667
Mailing Address - Country:US
Mailing Address - Phone:732-778-4359
Mailing Address - Fax:
Practice Address - Street 1:1 POCONO MT SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SWIFTWATER
Practice Address - State:PA
Practice Address - Zip Code:18370
Practice Address - Country:US
Practice Address - Phone:732-778-4359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0045672255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer