Provider Demographics
NPI:1790373819
Name:SCHMALBACH, FRANCISCO J (REG NURSE/IDMT)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:J
Last Name:SCHMALBACH
Suffix:
Gender:M
Credentials:REG NURSE/IDMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57950 LEAVENWORTH ST BLDG 250
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67210-1708
Mailing Address - Country:US
Mailing Address - Phone:316-759-2535
Mailing Address - Fax:
Practice Address - Street 1:57950 LEAVENWORTH ST BLDG 250
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67210-1708
Practice Address - Country:US
Practice Address - Phone:316-759-2535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7236196-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT7236196-3102OtherRN