Provider Demographics
NPI:1518014752
Name:SCHMIDT, RICHARD LOUIS JR (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LOUIS
Last Name:SCHMIDT
Suffix:JR
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 1:15 TOWNSEND ST
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:NY
Mailing Address - Zip Code:13856-1309
Mailing Address - Country:US
Mailing Address - Phone:607-865-5500
Mailing Address - Fax:607-865-5376
Practice Address - Street 1:15 TOWNSEND ST
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:NY
Practice Address - Zip Code:13856-1309
Practice Address - Country:US
Practice Address - Phone:607-865-5500
Practice Address - Fax:607-865-5376
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009739111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX8D271Medicare ID - Type Unspecified
NYU81389Medicare UPIN