MEDICARE: PAUL B SCHIRMER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist		VA
2	111N00000X	Chiropractor	0104556352	VA
3	261QP2000X	Physical Therapy Clinic/Center		VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	193664	OTHER	VA	ANTHEM
2	388104	OTHER	VA	ANTHEM
3	83-0440556	OTHER	VA	STATE ID

General Provider Information

NPI Number	:	1639109606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL B SCHIRMER DC

Provider Business Mailing Address
First Line	:	4628 PORTSMOUTH BLVD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-2106
Country	:	US
Telephone Number	:	757-673-8840
Fax Number	:	757-673-8861

Provider Business Practice Location Address
First Line	:	4628 PORTSMOUTH BLVD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321
Country	:	US
Telephone Number	:	757-673-8840
Fax Number	:	757-673-8861

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/19/2026

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Directions to “ PAUL B SCHIRMER DC” Practice Location

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