Provider Demographics
NPI:1982827507
Name:SCHMETTERLING, ERIC LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:LEE
Last Name:SCHMETTERLING
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 1:2309 RT 541
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016
Mailing Address - Country:US
Mailing Address - Phone:609-386-7737
Mailing Address - Fax:609-386-1520
Practice Address - Street 1:2309 RT 541
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016
Practice Address - Country:US
Practice Address - Phone:609-386-7737
Practice Address - Fax:609-386-1520
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC02172111N00000X
FLCH3918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2418703Medicaid
SC37760Medicare ID - Type Unspecified
NJ2418703Medicaid