Healthcare Provider Details

I. General information

NPI: 1285665984
Provider Name (Legal Business Name): JULIE ANN SCHMIDT D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 02/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 HILL ST
NORWOOD YOUNG AMERICA MN
55368
US

IV. Provider business mailing address

320 HILL ST PO BOX 215
NORWOOD YOUNG AMERICA MN
55368
US

V. Phone/Fax

Practice location:
  • Phone: 952-467-2505
  • Fax: 952-467-9104
Mailing address:
  • Phone: 952-467-2505
  • Fax: 952-467-9104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3968
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: