Jacob Schmitz, DC, MS
Chiropractor in Saint Charles, MO. Individual provider (NPI-1).
NPI number1164021408
StatusActive
Last updated in NPPESJan 21, 2021
Details
- NPI
- 1164021408
- Entity type
- Individual (NPI-1)
- Name
- Jacob Schmitz
- Credential
- DC, MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2020
- Certification date
- Jan 21, 2021
- Last updated
- Jan 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2020035077 | MO | Yes |
| 111NS0005X | Chiropractor, Sports Physician | 2020035077 | MO |
Practice location
380 Beckley PlSaint Charles, MO 63304-1029
Phone 636-448-2644
Mailing address
380 Beckley PlSaint Charles, MO 63304-1029
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