Individual
DR. REBECCA JOAN SCHOETTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1735 27TH ST, SUITE 201, PORTSMOUTH, OH 45662-2657
(740) 353-6500
(740) 354-5389
Mailing address
1735 27TH STREET, SUITE 201, PORTSMOUTH, OH 45662-2657
(740) 353-6500
(740) 354-5389
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-04-8393
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359860
ANTHEM BLUE CROSS/BLUE S
OH
05
—
0599213
—
OH
01
—
201893650
HEALTH NET FEDERAL SERVIC
OH
01
—
4316548
AETNA
OH
05
—
65942898
—
KY
Enumeration date
06/14/2005
Last updated
10/28/2014
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