1386966489 NPI number — GLOBAL WOUND CARE SOLUTIONS CORP

Table of content: DR. ADAM MICHAEL SCHMITT M.D. (NPI 1427280593)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386966489 NPI number — GLOBAL WOUND CARE SOLUTIONS CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLOBAL WOUND CARE SOLUTIONS CORP
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:
1386966489
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3115 COLLEGE PARK DRIVE
Provider Second Line Business Mailing Address:
SUITE 108
Provider Business Mailing Address City Name:
THE WOODLANDS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77384-4171
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-795-5608
Provider Business Mailing Address Fax Number:
936-447-9357

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3115 COLLEGE PARK DRIVE
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77384-4171
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-795-5608
Provider Business Practice Location Address Fax Number:
936-447-9357
Provider Enumeration Date:
02/17/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BOERSMA
Authorized Official First Name:
DEVIN
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
281-795-5608

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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