Provider Demographics
NPI:1912786625
Name:SCHINE HEALTH PLLC
Entity Type:Organization
Organization Name:SCHINE HEALTH PLLC
Other - Org Name:PATRIC SCHINE
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPENCER-WAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-529-3348
Mailing Address - Street 1:108 N TOWER AVE
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-4220
Mailing Address - Country:US
Mailing Address - Phone:360-726-3754
Mailing Address - Fax:
Practice Address - Street 1:108 N TOWER AVE
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-4220
Practice Address - Country:US
Practice Address - Phone:360-726-3754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCHINE HEALTH PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-22
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty