MEDICARE: DR. JEREMY CHRISTOPHER SCHMID D.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	9769	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8S5620	OTHER	TX	BC/BS TX
2	5298930	OTHER	TX	CIGNA

General Provider Information

NPI Number	:	1477593457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEREMY CHRISTOPHER SCHMID D.C.

Provider Business Mailing 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

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	02/24/2016

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