Provider Demographics
NPI:1982937835
Name:SCHEINERT, SUSAN K (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:K
Last Name:SCHEINERT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 S. FRANKLIN ST.
Mailing Address - Street 2:
Mailing Address - City:SHAWANO
Mailing Address - State:WI
Mailing Address - Zip Code:54166-2329
Mailing Address - Country:US
Mailing Address - Phone:715-526-9780
Mailing Address - Fax:
Practice Address - Street 1:145 S. FRANKLIN ST.
Practice Address - Street 2:
Practice Address - City:SHAWANO
Practice Address - State:WI
Practice Address - Zip Code:54166-2329
Practice Address - Country:US
Practice Address - Phone:715-526-9780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI#7084-031LPN164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse