Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH00033863 | WA |
N | 111NS0005X | Chiropractic Sports Physician | CH00033863 | WA |
N | 111NT0100X | Thermography | CH00033863 | WA |
NPI | 1639390594 |
---|---|
Provider Name | Robert Schmitt |
First Address | Mount Vernon, WA 98273-2495 |
Second Address | Mount Vernon, WA 98273-2495 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 13/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
137419 | LABOR AND INDUSTRIES (01) | WA |