Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 2914 | OH |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC-02914 | OH |
NPI | 1306829031 |
---|---|
Provider Name | Andrew Edward Schmutz |
First Address | North Lima, OH 44452-8702 |
Second Address | Columbiana, OH 44408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 12/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2305740 | (05) | OH |
U86944 | (02) |