Individual
ELLEN C SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2364 GAUSE BLVD. E., SUITE 101, SLIDELL, LA 70461-4126
(985) 781-7531
(985) 781-7538
Mailing address
2364 GAUSE BLVD. E., SUITE 101, SLIDELL, LA 70461-4126
(985) 781-7531
(985) 781-7538
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD019143
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18170
STATE CDS
LA
05
—
1917036
—
LA
01
—
MD019143
MEDICAL LICENSE
LA
Enumeration date
07/28/2006
Last updated
09/20/2022
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