Provider Demographics
NPI:1639397763
Name:DAVID H SCHMITZ-BINNALL
Entity Type:Organization
Organization Name:DAVID H SCHMITZ-BINNALL
Other - Org Name:D & L ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMITZ-BINNALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-676-9912
Mailing Address - Street 1:1121 E SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4154
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1121 E SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4154
Practice Address - Country:US
Practice Address - Phone:208-676-9912
Practice Address - Fax:208-665-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID8064225Medicaid
ID8057474Medicaid
ID8060775Medicaid
ID8067700Medicaid