Healthcare Provider Details

I. General information

NPI: 1346276250
Provider Name (Legal Business Name): DONALD JOE SCHMIDT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 S WALNUT ST
OTTAWA OH
45875-1817
US

IV. Provider business mailing address

139 S WALNUT ST
OTTAWA OH
45875-1817
US

V. Phone/Fax

Practice location:
  • Phone: 419-523-5737
  • Fax: 419-523-3839
Mailing address:
  • Phone: 419-523-5737
  • Fax: 419-523-3839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2067
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: