Healthcare Provider Details

I. General information

NPI: 1013118157
Provider Name (Legal Business Name): CHARLES JOSEPH SCHMITT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 09/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 COLLEGE PARKWAY
COLCHESTER VT
05445-3007
US

IV. Provider business mailing address

790 COLLEGE PKWY
COLCHESTER VT
05446-3007
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-1170
  • Fax:
Mailing address:
  • Phone: 802-847-1170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number77229
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number042-0011459
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: