Provider Demographics
NPI:1831525666
Name:SCHMIDT, BRUCE T (HAS)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:T
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 E SUNSET RD
Mailing Address - Street 2:UNIT 5-260
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3511
Mailing Address - Country:US
Mailing Address - Phone:702-798-0113
Mailing Address - Fax:866-291-5242
Practice Address - Street 1:3610 SE FEDERAL HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-4902
Practice Address - Country:US
Practice Address - Phone:772-221-0330
Practice Address - Fax:772-221-8998
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS 2241237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist