Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | C1-0005640 | DE |
NPI | 1194831149 |
---|---|
Provider Name | Dr. David E Schmidt JR. |
First Address | Dover, DE 19901-4148 |
Second Address | Dover, DE 19901-4148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
336185 | AMERIHEALTH (01) | DE |
48260 | COVENTRY (01) | DE |
G95885 | (02) |