Provider Demographics
NPI:1487869897
Name:SCHNEIDER, BOBBIE (R EEG,T, CNIM)
Entity type:Individual
Prefix:
First Name:BOBBIE
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:R EEG,T, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11121 SUN CENTER DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6161
Mailing Address - Country:US
Mailing Address - Phone:916-631-0112
Mailing Address - Fax:916-631-1652
Practice Address - Street 1:11121 SUN CENTER DR
Practice Address - Street 2:SUITE G
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6161
Practice Address - Country:US
Practice Address - Phone:916-631-0112
Practice Address - Fax:916-631-1652
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1090247200000X
CA7072247200000X
CA36502472E0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
Not Answered2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG