Individual
BRIAN W SCHACK
Active
Individual
BRIAN W SCHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35629
KY
208000000X
Pediatrics Physician
35629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110208628
RAILROAD MEDICARE
KY
05
—
2269736
—
OH
05
—
64014483
—
KY
01
—
P00839846
RAILROAD MEDICARE
KY
Enumeration date
06/22/2006
Last updated
09/11/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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