Provider Demographics
NPI:1043381304
Name:SCHAARSCHMIDT, KURT RUDOLF (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:RUDOLF
Last Name:SCHAARSCHMIDT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3869 COUNTY HWY NN
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-8772
Mailing Address - Country:US
Mailing Address - Phone:262-338-6717
Mailing Address - Fax:
Practice Address - Street 1:235 N 18TH AVE
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-3059
Practice Address - Country:US
Practice Address - Phone:262-334-0374
Practice Address - Fax:262-334-5958
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1331-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38828600Medicaid
WI38828600Medicaid