Provider Demographics
NPI:1689242398
Name:SCHMIDT, ERIC JAMES (RN)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:JAMES
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 W 3RD ST APT 2
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55806-2307
Mailing Address - Country:US
Mailing Address - Phone:218-576-7877
Mailing Address - Fax:
Practice Address - Street 1:1102 W 3RD ST APT 2
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55806-2307
Practice Address - Country:US
Practice Address - Phone:218-576-7877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2298836163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health