Provider Demographics
NPI:1518969757
Name:SCHMITT, JEROME A (DC)
Entity type:Individual
Prefix:DR
First Name:JEROME
Middle Name:A
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 1:8 LITTAUER PL
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-3202
Mailing Address - Country:US
Mailing Address - Phone:518-725-0776
Mailing Address - Fax:518-725-0176
Practice Address - Street 1:8 LITTAUER PL
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078-3202
Practice Address - Country:US
Practice Address - Phone:518-725-0776
Practice Address - Fax:518-725-0176
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1541111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX3358OtherEMPIRE BC PROVIDER NUMBER
NYT26469Medicare UPIN
NY35697BMedicare PIN