Provider Demographics
NPI:1417126905
Name:SCHMITZ, ANDRE LLOYD (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:LLOYD
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 1:1456 SAN PABLO AVE
Mailing Address - Street 2:BERKELEY INTEGRATIVE HEALING CLINIC
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-1046
Mailing Address - Country:US
Mailing Address - Phone:510-719-7210
Mailing Address - Fax:
Practice Address - Street 1:1456 SAN PABLO AVE
Practice Address - Street 2:BERKELEY INTEGRATIVE HEALING CLINIC
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94702-1046
Practice Address - Country:US
Practice Address - Phone:510-719-7210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor