Individual
JOHN A SCHAEFER
Active
Individual
JOHN A SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200201168
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316G
BLUE CROSS BLUE SHIELD
NC
05
—
891316G
—
NC
01
—
P00274218
RAILROAD MEDICARE
NC
Enumeration date
01/30/2006
Last updated
03/17/2009
Update your record
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