Provider Demographics
NPI:1073130753
Name:ANNIE SCHMIDT CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:ANNIE SCHMIDT CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-258-1969
Mailing Address - Street 1:4418 RUCKER AVE STE A
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2397
Mailing Address - Country:US
Mailing Address - Phone:425-258-1969
Mailing Address - Fax:425-259-5466
Practice Address - Street 1:4418 RUCKER AVE STE A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2397
Practice Address - Country:US
Practice Address - Phone:425-258-1969
Practice Address - Fax:425-259-5466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service