Provider Demographics
NPI:1518994946
Name:SCHMIDT, DANIEL R (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:R
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1899
Mailing Address - Country:US
Mailing Address - Phone:509-487-4467
Mailing Address - Fax:509-487-4503
Practice Address - Street 1:1315 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1899
Practice Address - Country:US
Practice Address - Phone:509-487-4467
Practice Address - Fax:509-487-4503
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00001551207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0241843OtherDEPT OF LABOR AND INDUSTRIES
WA0241834OtherDEPT OF LABOR AND INDUSTRIES
WA0241834OtherDEPT OF LABOR AND INDUSTRIES
WA8208233Medicaid
8855974Medicare PIN
WAG8876571Medicare PIN
WA0241834OtherDEPT OF LABOR AND INDUSTRIES