Provider Demographics
NPI:1215038260
Name:SCHMITZ, ANDREW CLARK (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CLARK
Last Name:SCHMITZ
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 1:190 CARRIAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-1442
Mailing Address - Country:US
Mailing Address - Phone:401-780-8858
Mailing Address - Fax:401-780-6777
Practice Address - Street 1:5600 POST RD
Practice Address - Street 2:SUITE 116
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3400
Practice Address - Country:US
Practice Address - Phone:401-780-8858
Practice Address - Fax:401-780-6777
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00401111N00000X
MA2208111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI402540OtherBLUE CHP OF RI
RIAS53645OtherEDS 084 RITESHARE
RI7555360OtherAETNA
RI1939699OtherCIGNA
RI413068OtherTUFTS
RI21081-8OtherBCBS OF RI
RIAS53645OtherEDS 084 RITESHARE
RI359021081Medicare ID - Type Unspecified