Provider Demographics
NPI:1235258815
Name:SCHMITT, CHERYL LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:LYNN
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-2828
Mailing Address - Country:US
Mailing Address - Phone:360-848-6755
Mailing Address - Fax:360-989-3997
Practice Address - Street 1:600 N 4TH STREET
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273
Practice Address - Country:US
Practice Address - Phone:360-848-6755
Practice Address - Fax:360-989-3997
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033862111N00000X, 111NN0400X, 111NR0200X, 111NT0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology
No111NR0200XChiropractic ProvidersChiropractorRadiology
No111NT0100XChiropractic ProvidersChiropractorThermography
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2030658Medicaid
WA0202391OtherLABOR AND INDUSTRIES
WA020735147OtherTAX ID
WA0202391OtherLABOR AND INDUSTRIES
WA2030658Medicaid