Provider Demographics
NPI:1912506627
Name:SCHMIDT-AUCH, DIANE T
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:T
Last Name:SCHMIDT-AUCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1193 CARROLL ST
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-5489
Mailing Address - Country:US
Mailing Address - Phone:701-590-2257
Mailing Address - Fax:
Practice Address - Street 1:1193 CARROLL ST
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-5489
Practice Address - Country:US
Practice Address - Phone:701-590-2257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care