Provider Demographics
NPI:1689698250
Name:SCHMIDT, DARREN LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:LAWRENCE
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 1:3610 W LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9049
Mailing Address - Country:US
Mailing Address - Phone:734-302-7575
Mailing Address - Fax:734-821-7576
Practice Address - Street 1:3610 W LIBERTY RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9049
Practice Address - Country:US
Practice Address - Phone:734-302-7575
Practice Address - Fax:734-821-7576
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008059111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP36370001Medicare PIN
MIU66610Medicare UPIN