Provider Demographics
NPI:1558445783
Name:SCHMIDT, CURTIS CLARENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:CLARENCE
Last Name:SCHMIDT
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 1:397 BENCH ST
Mailing Address - Street 2:P.O. BOX 237
Mailing Address - City:TAYLORS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:55048-0237
Mailing Address - Country:US
Mailing Address - Phone:651-465-3811
Mailing Address - Fax:651-344-6025
Practice Address - Street 1:397 BENCH ST
Practice Address - Street 2:
Practice Address - City:TAYLORS FALLS
Practice Address - State:MN
Practice Address - Zip Code:55048-0237
Practice Address - Country:US
Practice Address - Phone:651-465-3811
Practice Address - Fax:651-344-6025
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1207111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN44-40257OtherMEDICA
MN38832800OtherWISCONSIN MEDICAL ASST
MN52829SCOtherBLUE CROSS BLUE SHEILD
MN927325500OtherMINESSOTA MEDICAL ASST
MNT66100Medicare UPIN
MN791350620Medicare ID - Type UnspecifiedMEDICARE RAILROAD
MN350001402Medicare ID - Type UnspecifiedMEDICARE