Provider Demographics
NPI:1548691843
Name:SCHACHERER, DONALD JOSEPH
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:JOSEPH
Last Name:SCHACHERER
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 1:409 S KENT ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50138-2419
Mailing Address - Country:US
Mailing Address - Phone:641-842-6751
Mailing Address - Fax:
Practice Address - Street 1:4908 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-1901
Practice Address - Country:US
Practice Address - Phone:515-280-4930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA020981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1548691843Medicaid
IA1548691843OtherWELLMARK BCBS OF IOWA
IAIB2393001Medicare PIN
IA1124398722Medicaid
IAIB2393Medicare PIN