Provider Demographics
NPI:1447028253
Name:SCH PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:SCH PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HACKSTEDDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-332-7214
Mailing Address - Street 1:400 TOWN CENTER AVE.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408
Mailing Address - Country:US
Mailing Address - Phone:330-332-7214
Mailing Address - Fax:330-332-7691
Practice Address - Street 1:400 TOWN CENTER AVE.
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408
Practice Address - Country:US
Practice Address - Phone:330-332-7214
Practice Address - Fax:330-332-7691
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCH PROFESSIONAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-12
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion TherapyGroup - Multi-Specialty