Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC 12273 | CA |
N | 111NX0100X | Occupational Health | DC 12273 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC 12273 | CA |
NPI | 1629040373 |
---|---|
Provider Name | Paul K Schmidt |
First Address | Sacramento, CA 95841-3146 |
Second Address | Sacramento, CA 95841-3146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 13/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T04698 | HILL PHYSICIAN MED GROUP (01) | CA |