Provider Demographics
NPI:1144964800
Name:SCHIBLER, BRETT S
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:S
Last Name:SCHIBLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 E 8TH ST APT 402
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-2254
Mailing Address - Country:US
Mailing Address - Phone:513-404-1965
Mailing Address - Fax:
Practice Address - Street 1:2320 BOUDINOT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3417
Practice Address - Country:US
Practice Address - Phone:513-347-3359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03338045183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist