Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 230 | OH |
NPI | 1699852046 |
---|---|
Provider Name | Dr. James Theodore Schmit |
First Address | Celina, OH 45822-1359 |
Second Address | Celina, OH 45822-1359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T46354 | (02) | OH |