Provider Demographics
NPI:1902968951
Name:SCHIEFELBEIN, TINA M
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:M
Last Name:SCHIEFELBEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8845 WATTSBURG RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-6027
Mailing Address - Country:US
Mailing Address - Phone:814-825-1327
Mailing Address - Fax:814-825-5131
Practice Address - Street 1:8845 WATTSBURG RD
Practice Address - Street 2:SUITE 3
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-6027
Practice Address - Country:US
Practice Address - Phone:814-825-1327
Practice Address - Fax:814-825-5131
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2009-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03149237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1417985151Medicare UPIN