Provider Demographics
NPI:1255406625
Name:SCHMIDT, WILLIAM H SR (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:SCHMIDT
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4418 RUCKER AVE
Mailing Address - Street 2:STE A
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2397
Mailing Address - Country:US
Mailing Address - Phone:425-258-1969
Mailing Address - Fax:425-259-5466
Practice Address - Street 1:4418 RUCKER AVE
Practice Address - Street 2:STE A
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2397
Practice Address - Country:US
Practice Address - Phone:425-258-1969
Practice Address - Fax:425-259-5466
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA715111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor