Provider Demographics
NPI:1235693938
Name:SCHMIDT, ZACHARY CHASE
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:CHASE
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 LINDEN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-1738
Mailing Address - Country:US
Mailing Address - Phone:406-210-2390
Mailing Address - Fax:
Practice Address - Street 1:34 LINDEN ST APT 2
Practice Address - Street 2:
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-1738
Practice Address - Country:US
Practice Address - Phone:406-210-2390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-27
Last Update Date:2019-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer