Individual
DEBRA BECK SCHROECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
260 STETSON ST, SUITE 3200 ML 0516, CINCINNATI, OH 45219-2492
(513) 558-0956
(513) 558-3399
Mailing address
260 STETSON ST, SUITE 3200 ML 0516, CINCINNATI, OH 45219-2492
(513) 558-0956
(513) 558-3399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50. 002262
OH
363A00000X
Physician Assistant
PA1099
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100088670
—
KY
01
—
P00799583
RAILROAD MEDICARE
KY
01
—
P00866124
RAILROAD MEDICARE
KY
Enumeration date
01/31/2008
Last updated
03/31/2011
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