Provider Demographics
NPI:1881620615
Name:SCHUMM, ELBERT R JR (CRNA)
Entity type:Individual
Prefix:MR
First Name:ELBERT
Middle Name:R
Last Name:SCHUMM
Suffix:JR
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:PO BOX 714813
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43271-4813
Mailing Address - Country:US
Mailing Address - Phone:937-293-0247
Mailing Address - Fax:937-293-0960
Practice Address - Street 1:801 MEDICAL DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-4099
Practice Address - Country:US
Practice Address - Phone:419-224-7586
Practice Address - Fax:419-224-9769
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH023499367500000X
OHRN108365367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered