Provider Demographics
NPI:1043283484
Name:SCHREINER, DAVID A
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:SCHREINER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 S CARLIN SPRINGS RD
Mailing Address - Street 2:SUTIE 405
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204
Mailing Address - Country:US
Mailing Address - Phone:703-379-5758
Mailing Address - Fax:703-820-7207
Practice Address - Street 1:611 S CARLIN SPRINGS RD
Practice Address - Street 2:SUTIE 405
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204
Practice Address - Country:US
Practice Address - Phone:703-379-5757
Practice Address - Fax:703-820-7207
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010132528207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
06170001OtherBCBS
06170001OtherBCBS
00B036D00Medicare ID - Type Unspecified