Healthcare Provider Details

I. General information

NPI: 1639390594
Provider Name (Legal Business Name): ROBERT SCHMITT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 RIVERSIDE DR STE C
MOUNT VERNON WA
98273-2495
US

IV. Provider business mailing address

1509 RIVERSIDE DR STE C
MOUNT VERNON WA
98273-2495
US

V. Phone/Fax

Practice location:
  • Phone: 360-848-6755
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCH00033863
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH00033863
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code111NT0100X
TaxonomyThermography Chiropractor
License NumberCH00033863
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: