Provider Demographics
NPI:1669731071
Name:SCHMITT CHIROPRACTIC & REHAB, INC.
Entity type:Organization
Organization Name:SCHMITT CHIROPRACTIC & REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-991-3500
Mailing Address - Street 1:15805 W MAPLE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-8250
Mailing Address - Country:US
Mailing Address - Phone:402-991-3500
Mailing Address - Fax:402-991-3501
Practice Address - Street 1:15805 W MAPLE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-8250
Practice Address - Country:US
Practice Address - Phone:402-991-3500
Practice Address - Fax:402-991-3501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1717111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty