Healthcare Provider Details

I. General information

NPI: 1447750658
Provider Name (Legal Business Name): DR. DELLA M. SCHMID, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2018
Last Update Date: 05/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 CHURCH HILL RD
NEWTOWN CT
06470
US

IV. Provider business mailing address

19 CHURCH HILL RD
NEWTOWN CT
06470-1651
US

V. Phone/Fax

Practice location:
  • Phone: 203-426-5500
  • Fax: 203-426-4770
Mailing address:
  • Phone: 203-426-5500
  • Fax: 203-426-4770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number981
License Number StateCT

VIII. Authorized Official

Name: DELLA M SCHMID
Title or Position: OWNER
Credential: DC
Phone: 203-426-5500