Provider Demographics
NPI:1245662360
Name:SCHMIDT, KARIN SUE (BC-HIS)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:SUE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1813 WILLOW ST STE 4B
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-4279
Mailing Address - Country:US
Mailing Address - Phone:812-882-2075
Mailing Address - Fax:812-882-7073
Practice Address - Street 1:1813 WILLOW ST STE 4B
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-4279
Practice Address - Country:US
Practice Address - Phone:812-882-2075
Practice Address - Fax:812-882-7074
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001277A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist