Healthcare Provider Details

I. General information

NPI: 1437658549
Provider Name (Legal Business Name): HANNA I-HWA SCHMITTAT ND, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2018
Last Update Date: 07/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 CARROLL AVE
TAKOMA PARK MD
20912
US

IV. Provider business mailing address

7120 CARROLL AVE
TAKOMA PARK MD
20912-4638
US

V. Phone/Fax

Practice location:
  • Phone: 301-891-2488
  • Fax:
Mailing address:
  • Phone: 301-891-2488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU02486
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberJ0000039
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: