Provider Demographics
NPI:1477593457
Name:SCHMID, JEREMY CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:CHRISTOPHER
Last Name:SCHMID
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 1:712 W PRINCETON DRIVE
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407
Mailing Address - Country:US
Mailing Address - Phone:972-734-1400
Mailing Address - Fax:972-736-2024
Practice Address - Street 1:712 W PRINCETON DRIVE
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407
Practice Address - Country:US
Practice Address - Phone:972-734-1400
Practice Address - Fax:972-736-2024
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9769111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S5620OtherBC/BS TX
TX5298930OtherCIGNA
TX8S5620OtherBC/BS TX
TX8F0723Medicare PIN