Provider Demographics
NPI:1336229418
Name:DEAN HEALTHCARE LLC
Entity Type:Organization
Organization Name:DEAN HEALTHCARE LLC
Other - Org Name:SCHMIDT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-467-3261
Mailing Address - Street 1:225 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MILLSTADT
Mailing Address - State:IL
Mailing Address - Zip Code:62260-1225
Mailing Address - Country:US
Mailing Address - Phone:618-467-3261
Mailing Address - Fax:618-467-7597
Practice Address - Street 1:225 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MILLSTADT
Practice Address - State:IL
Practice Address - Zip Code:62260-1225
Practice Address - Country:US
Practice Address - Phone:618-467-3261
Practice Address - Fax:618-467-7597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010786111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty