Provider Demographics
NPI:1083605505
Name:SCHMITT, ROBERT A (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:SCHMITT
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 1:180 HIGHWAY 10 N
Mailing Address - Street 2:P.O. BOX 86
Mailing Address - City:MOTLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56466-9055
Mailing Address - Country:US
Mailing Address - Phone:218-352-6753
Mailing Address - Fax:218-352-8309
Practice Address - Street 1:180 HIGHWAY 10 N
Practice Address - Street 2:BOX 86
Practice Address - City:MOTLEY
Practice Address - State:MN
Practice Address - Zip Code:56466-9055
Practice Address - Country:US
Practice Address - Phone:218-352-6753
Practice Address - Fax:218-352-8309
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3140111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN559323900Medicaid
MNU44804Medicare UPIN
MN350002071Medicare ID - Type Unspecified