Individual
MR. JEFFREY LYNN SCHRADER
Active
Individual
MR. JEFFREY LYNN SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED REGISTERED
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R166136
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8273022 00
—
MD
01
—
KBC1CH
CAREFIRST BCBS
MD
01
—
S417-0006
CAREFIRST BCBS
DC
Enumeration date
09/27/2005
Last updated
05/06/2010
Update your record
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