Provider Demographics
NPI:1861681249
Name:MICHAEL J. SCHMITT, DC PA
Entity Type:Organization
Organization Name:MICHAEL J. SCHMITT, DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-900-2902
Mailing Address - Street 1:7928 COUNCIL PL
Mailing Address - Street 2:STE 116
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5153
Mailing Address - Country:US
Mailing Address - Phone:704-900-2902
Mailing Address - Fax:704-900-2912
Practice Address - Street 1:7928 COUNCIL PL
Practice Address - Street 2:STE 116
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5153
Practice Address - Country:US
Practice Address - Phone:704-900-2902
Practice Address - Fax:704-900-2912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2374111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2455127Medicare PIN