Provider Demographics
NPI:1144273947
Name:SCHMITT, PATRICK WILLIAM (DO)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:WILLIAM
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:DO
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 94360
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87199-4360
Mailing Address - Country:US
Mailing Address - Phone:814-323-1962
Mailing Address - Fax:
Practice Address - Street 1:143 E 2ND ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1501
Practice Address - Country:US
Practice Address - Phone:814-323-1962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-104695208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOS007296EOtherCOMMON WEALTH OF PENNSYLVANIA
NMA-104695OtherNM BOARD OF OSTEPATHIC ME
NMA-104695OtherNM BOARD OF OSTEPATHIC ME
F31399Medicare UPIN