1225008246 NPI number — SCHMIT CHIROPRACTIC OFFICE, INC

Table of content: (NPI 1225008246)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225008246 NPI number — SCHMIT CHIROPRACTIC OFFICE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SCHMIT CHIROPRACTIC OFFICE, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225008246
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/24/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 415
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GROVE CITY
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43123-0415
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-875-2225
Provider Business Mailing Address Fax Number:
614-875-2589

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4141 KELNOR DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GROVE CITY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43123-2960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-875-2225
Provider Business Practice Location Address Fax Number:
614-875-2589
Provider Enumeration Date:
01/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHMIT
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
614-875-2225

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  679 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0353228 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: SC9369191 . This is a "MEDICARE PTAN" identifier . This identifiers is of the category "OTHER".




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