Provider Demographics
NPI:1740594696
Name:SCHMITT FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:SCHMITT FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-478-2600
Mailing Address - Street 1:229 WALNUT STREET
Mailing Address - Street 2:PO BOX 165
Mailing Address - City:PARSONS
Mailing Address - State:WV
Mailing Address - Zip Code:26287-0165
Mailing Address - Country:US
Mailing Address - Phone:304-478-2600
Mailing Address - Fax:304-478-2604
Practice Address - Street 1:229 WALNUT STREET
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:WV
Practice Address - Zip Code:26287-0165
Practice Address - Country:US
Practice Address - Phone:304-478-2600
Practice Address - Fax:304-478-2604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2229-9974261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care