MEDICARE: JUDITH ANN SCHMIDT L.AC

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	171100000X	Acupuncturist	990-55	WI

General Provider Information

NPI Number	:	1952983199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH ANN SCHMIDT L.AC

Provider Business Mailing Address
First Line	:	154 E 5TH ST
Second Line	:
City	:	NEILLSVILLE
State	:	WI
Zip	:	54456-1941
Country	:	US
Telephone Number	:	715-743-3404
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 E 5TH ST
Second Line	:
City	:	NEILLSVILLE
State	:	WI
Zip	:	54456-1941
Country	:	US
Telephone Number	:	715-743-3404
Fax Number	:

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

Provider Enumeration Date	:	04/27/2021
Last Update Date	:	04/27/2021

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Directions to “ JUDITH ANN SCHMIDT L.AC” Practice Location

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