Provider Demographics
NPI:1285175976
Name:PAT J SCHMID
Entity type:Organization
Organization Name:PAT J SCHMID
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FCC FSP
Authorized Official - Prefix:MR
Authorized Official - First Name:PAT
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-705-6215
Mailing Address - Street 1:1700 SWANSON
Mailing Address - Street 2:#81
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901
Mailing Address - Country:US
Mailing Address - Phone:307-705-6215
Mailing Address - Fax:
Practice Address - Street 1:1700 SWANSON DR
Practice Address - Street 2:#81
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-6019
Practice Address - Country:US
Practice Address - Phone:307-705-6215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management