Provider Demographics
NPI:1174605356
Name:SCHABLA, JAMES CARL (PA-C)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CARL
Last Name:SCHABLA
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3221 S ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-3032
Mailing Address - Country:US
Mailing Address - Phone:414-288-6206
Mailing Address - Fax:414-288-5681
Practice Address - Street 1:545 N 15TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233-2237
Practice Address - Country:US
Practice Address - Phone:414-288-7184
Practice Address - Fax:414-288-5681
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WI540023363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant