Provider Demographics
NPI:1477735736
Name:SCHMITT, JILL (DC)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
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 1:213 E PRICE ST
Mailing Address - Street 2:UNIT 301
Mailing Address - City:ELDRIDGE
Mailing Address - State:IA
Mailing Address - Zip Code:52748-1776
Mailing Address - Country:US
Mailing Address - Phone:563-505-4886
Mailing Address - Fax:
Practice Address - Street 1:213 E PRICE ST
Practice Address - Street 2:UNIT 301
Practice Address - City:ELDRIDGE
Practice Address - State:IA
Practice Address - Zip Code:52748-1776
Practice Address - Country:US
Practice Address - Phone:563-505-4886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007019111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor