Individual
PAUL MARTIN SCHUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
107 S SPORTING HILL RD, MECHANICSBURG, PA 17050-3058
(717) 943-1781
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055733
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615466
GATEWAY MEDICARE ASSURED
PA
01
—
2793518
HIGHMARK BLUE SHIELD FREEDOM BLUE
PA
Enumeration date
10/09/2012
Last updated
03/22/2022
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