Healthcare Provider Details

I. General information

NPI: 1982477584
Provider Name (Legal Business Name): DR SCHMITTAT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 KINGSTOWNE VILLAGE PKWY STE 102
ALEXANDRIA VA
22315-5881
US

IV. Provider business mailing address

1202 S WASHINGTON ST APT 414
ALEXANDRIA VA
22314-4497
US

V. Phone/Fax

Practice location:
  • Phone: 434-879-1332
  • Fax:
Mailing address:
  • Phone: 203-763-9804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. HANNA I SCHMITTAT
Title or Position: OWNER
Credential: ND, LAC, DIPL AC
Phone: 434-879-1332