Provider Demographics
NPI:1942225644
Name:BEIERSCHMITT, MARY B (DC)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:B
Last Name:BEIERSCHMITT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CONSTITUTION AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17361-1710
Mailing Address - Country:US
Mailing Address - Phone:717-235-2526
Mailing Address - Fax:717-235-6922
Practice Address - Street 1:8 CONSTITUTION AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1710
Practice Address - Country:US
Practice Address - Phone:717-235-2526
Practice Address - Fax:717-235-6922
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007016L111N00000X
DEF10000492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA011906Medicare ID - Type Unspecified
PAU71215Medicare UPIN