SCHROEDER SURGICAL ASSISTING LLC NPI 1104370337

NPI Information

  • NPI: 1104370337
  • Provider Name: SCHROEDER SURGICAL ASSISTING LLC
  • Classification: Specialist/Technologist, Other - 246Z00000X
  • Entity Type: Organization
  • Address: 625 E BROADWAY AVE
    JACKSON, WY
    ZIP 83001
  • Phone: (208) 525-2090

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NPI Details

SCHROEDER SURGICAL ASSISTING LLC is a specialist technologist other in Jackson, WY. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. SCHROEDER SURGICAL ASSISTING LLC NPI is 1104370337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 E BROADWAY AVE
JACKSON, WY
ZIP 83001-642
Phone: (208) 525-2090
Fax: (208) 523-8978

The provider's authorized official is Christopher Philip Schroeder .
The authorized official title is Owner and has the following contact phone number (208) 525-2090.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 8/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246Z00000XSpecialist/Technologist, OtherYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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