Provider Demographics
NPI:1023131182
Name:SCHMIT CHIROPRACTIC OFFICES, LLC
Entity type:Organization
Organization Name:SCHMIT CHIROPRACTIC OFFICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SCHMIT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:260-726-9661
Mailing Address - Street 1:207 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:IN
Mailing Address - Zip Code:47371-2124
Mailing Address - Country:US
Mailing Address - Phone:260-726-9661
Mailing Address - Fax:260-726-8734
Practice Address - Street 1:207 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:IN
Practice Address - Zip Code:47371-2124
Practice Address - Country:US
Practice Address - Phone:260-726-9661
Practice Address - Fax:260-726-8734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002013A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INU88458Medicare UPIN