MEDICARE: WAYNE E. SCHMIDT 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	744	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1790788933	OTHER		NPI

General Provider Information

NPI Number	:	1790788933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAYNE E. SCHMIDT D.C.

Provider Business Mailing Address
First Line	:	1430 CLAREMONT AVE
Second Line	:	STE 5A
City	:	ASHLAND
State	:	OH
Zip	:	44805
Country	:	US
Telephone Number	:	419-281-4531
Fax Number	:	419-281-4533

Provider Business Practice Location Address
First Line	:	1430 CLAREMONT AVE
Second Line	:	STE 5A
City	:	ASHLAND
State	:	OH
Zip	:	44805-3564
Country	:	US
Telephone Number	:	419-281-4531
Fax Number	:	419-281-4533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/05/2011

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