Healthcare Provider Details

I. General information

NPI: 1578098760
Provider Name (Legal Business Name): JORDAN SCHMIDT DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2017
Last Update Date: 11/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 OKOBOJI AVE STE F
MILFORD IA
51351-1293
US

IV. Provider business mailing address

3510 8TH ST NW # 100
ROCHESTER MN
55901-5927
US

V. Phone/Fax

Practice location:
  • Phone: 712-338-2225
  • Fax: 712-338-2578
Mailing address:
  • Phone: 507-424-0655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number098863
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6365
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: