Healthcare Provider Details

I. General information

NPI: 1689911380
Provider Name (Legal Business Name): JOHN SCHMITZ PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2013
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR RM. 1035 EAST WING UNC HOSPITALS
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

101 MANNING DR RM. 1035 EAST WING UNC HOSPITALS
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-8453
  • Fax: 919-966-0486
Mailing address:
  • Phone: 919-966-8453
  • Fax: 919-966-0486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: