Provider Demographics
NPI:1902898281
Name:SCHMITT, ROY H (DC)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:H
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-0398
Mailing Address - Country:US
Mailing Address - Phone:724-625-3200
Mailing Address - Fax:724-625-3300
Practice Address - Street 1:506 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:MARYS
Practice Address - State:PA
Practice Address - Zip Code:16046-0398
Practice Address - Country:US
Practice Address - Phone:724-625-3200
Practice Address - Fax:724-625-3300
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001219L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0619266Medicaid
PA1037918OtherAMERICAN SPECIALITY HEALT
PA115584OtherHIGHMARK
PA115584OtherHIGHMARK