Provider Demographics
NPI:1255340352
Name:SCHIMP, DAVID JAMES (DC, DACNB, DAAPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JAMES
Last Name:SCHIMP
Suffix:
Gender:M
Credentials:DC, DACNB, DAAPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 E SUMNER ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:WI
Mailing Address - Zip Code:53027-1605
Mailing Address - Country:US
Mailing Address - Phone:262-673-2341
Mailing Address - Fax:262-673-2131
Practice Address - Street 1:937 E SUMNER ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:WI
Practice Address - Zip Code:53027-1605
Practice Address - Country:US
Practice Address - Phone:262-673-2341
Practice Address - Fax:262-673-2131
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2806111N00000X
TX12206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI75326Medicare ID - Type Unspecified
WIU25330Medicare UPIN