Healthcare Provider Details

I. General information

NPI: 1902898281
Provider Name (Legal Business Name): ROY H SCHMITT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 PITTSBURGH ST
MARYS PA
16046-0398
US

IV. Provider business mailing address

PO BOX 398
MARYS PA
16046-0398
US

V. Phone/Fax

Practice location:
  • Phone: 724-625-3200
  • Fax: 724-625-3300
Mailing address:
  • Phone: 724-625-3200
  • Fax: 724-625-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC001219L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: