Provider Demographics
NPI:1285665984
Name:SCHMIDT, JULIE ANN (DC)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 HILL ST
Mailing Address - Street 2:PO BOX 215
Mailing Address - City:NORWOOD YOUNG AMERICA
Mailing Address - State:MN
Mailing Address - Zip Code:55368
Mailing Address - Country:US
Mailing Address - Phone:952-467-2505
Mailing Address - Fax:952-467-9104
Practice Address - Street 1:320 HILL ST
Practice Address - Street 2:
Practice Address - City:NORWOOD YOUNG AMERICA
Practice Address - State:MN
Practice Address - Zip Code:55368
Practice Address - Country:US
Practice Address - Phone:952-467-2505
Practice Address - Fax:952-467-9104
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3968111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0609005-00Medicaid
MN350003304Medicare ID - Type Unspecified
MN0609005-00Medicaid