Provider Demographics
NPI:1457421968
Name:DRS. PFAHL & SCHILD, INC
Entity type:Organization
Organization Name:DRS. PFAHL & SCHILD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARRIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-626-8181
Mailing Address - Street 1:1200 PROSPECT STREET
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-3316
Mailing Address - Country:US
Mailing Address - Phone:419-626-8181
Mailing Address - Fax:419-626-8621
Practice Address - Street 1:1200 PROSPECT STREET
Practice Address - Street 2:SUITE 120
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3316
Practice Address - Country:US
Practice Address - Phone:419-626-8181
Practice Address - Fax:419-626-8621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35066277207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0196407Medicaid
OH0196407Medicaid