Michael Adam Schiffenhaus

Individual provider Active NPI Independent Duty Corpsman · Sneads Ferry, NC

NPI 1689137648 · NPPES record last updated Apr 8, 2019

Key facts

NPI
1689137648
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
111 Bridgeport Dr
Sneads Ferry, NC 28460-1060
Phone
(973) 941-3502
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X NC Yes

Addresses

Primary practice location

111 Bridgeport Dr
Sneads Ferry, NC 28460-1060

Mailing address

111 Bridgeport Dr
Sneads Ferry, NC 28460-1060
Phone (973) 941-3502

Other providers in Sneads Ferry, NC

All providers in Sneads Ferry, NC · Independent Duty Corpsman in North Carolina

Sources for this page

Verify at the official NPI Registry.