Provider Demographics
NPI:1700968310
Name:DAVID L. SCHNEIDER MD APMC
Entity type:Organization
Organization Name:DAVID L. SCHNEIDER MD APMC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-889-0550
Mailing Address - Street 1:15825 PROFESSIONAL PLZ
Mailing Address - Street 2:SUITE A
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1497
Mailing Address - Country:US
Mailing Address - Phone:985-429-1080
Mailing Address - Fax:985-429-1092
Practice Address - Street 1:15825 PROFESSIONAL PLZ
Practice Address - Street 2:SUITE A
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1497
Practice Address - Country:US
Practice Address - Phone:985-429-1080
Practice Address - Fax:985-429-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1442020Medicaid
LA1442020Medicaid