MEDICARE: SCHMID CHIROPRACTIC, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier
3	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8S5620	OTHER	TX	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1306856265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHMID CHIROPRACTIC, P.A.

Provider Business Mailing Address
First Line	:	712 W PRINCETON DR
Second Line	:
City	:	PRINCETON
State	:	TX
Zip	:	75407-9039
Country	:	US
Telephone Number	:	972-734-0015
Fax Number	:	972-736-2024

Provider Business Practice Location Address
First Line	:	712 W PRINCETON DRIVE
Second Line	:
City	:	PRINCETON
State	:	TX
Zip	:	75407
Country	:	US
Telephone Number	:	972-734-1400
Fax Number	:	972-736-2024

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEREMY CHRISTOPHER SCHMID
Credential	:	D.C.
Telephone Number	:	972-734-0015

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	01/21/2020

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Directions to “SCHMID CHIROPRACTIC, P.A. ” Practice Location

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