Bethany Schamber, PA
Physician Assistant in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1164076436
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1164076436
- Entity type
- Individual (NPI-1)
- Name
- Bethany Schamber
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2019
- Certification date
- Aug 30, 2024
- Last updated
- Aug 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10002813A | IN | Yes |
Other names
- Bethany Schultz (Former Name)
Practice location
11123 Parkview Plaza Dr Ste 101Fort Wayne, IN 46845-1707
Phone 260-425-6650 · Fax 260-425-6649
Mailing address
11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
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