Provider Demographics
NPI:1790466225
Name:SCHAUB, ALISON ELIZABETH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:ELIZABETH
Last Name:SCHAUB
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 DOMINIQUE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5910
Mailing Address - Country:US
Mailing Address - Phone:603-219-1302
Mailing Address - Fax:
Practice Address - Street 1:402 GOODRICH AVE
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-1305
Practice Address - Country:US
Practice Address - Phone:207-438-4940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61552368363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant