Individual
DR. CHARLES E SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1619 N GREENWOOD ST, #300, PUEBLO, CO 81003-2644
(719) 543-2476
(719) 543-2479
Mailing address
1619 N GREENWOOD ST, # 300, PUEBLO, CO 81003-2644
(719) 543-2476
(719) 543-2479
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
282
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04012167
—
CO
01
—
840828115001
RKY MT HEALTH PLAN
—
01
—
R5324
BC
—
Enumeration date
09/25/2006
Last updated
01/07/2008
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