Healthcare Provider Details

I. General information

NPI: 1639109606
Provider Name (Legal Business Name): PAUL B SCHIRMER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4628 PORTSMOUTH BLVD
CHESAPEAKE VA
23321
US

IV. Provider business mailing address

4628 PORTSMOUTH BLVD
CHESAPEAKE VA
23321-2106
US

V. Phone/Fax

Practice location:
  • Phone: 757-673-8840
  • Fax: 757-673-8861
Mailing address:
  • Phone: 757-673-8840
  • Fax: 757-673-8861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556352
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: