Provider Demographics
NPI:1053516682
Name:SCHNEBLE, FLORENCE ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:ELIZABETH
Last Name:SCHNEBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 85072
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-0072
Mailing Address - Country:US
Mailing Address - Phone:248-557-3220
Mailing Address - Fax:
Practice Address - Street 1:14128 BERWYN
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-2907
Practice Address - Country:US
Practice Address - Phone:248-557-3220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801058979104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801058979OtherMI SOCIAL WORKER REG
MIP208939630OtherBCBS PROVIDER ID
MIP208939630OtherBCBS PROVIDER ID