Schmidt, Dan J

Schmidt, Dan J is an individual health care provider with primary practice located at 803 S Main St Ste 120 , Moscow ID 83843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schmidt, Dan J can be contacted via phone (208) 848-8300.

Contact Information

Primary practice address
803 S Main St Ste 120 Moscow ID 83843
Fax: (208) 882-5587
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M5270 Idaho

Profile Details

NPI number 1619936549
LBN Legal business name Schmidt, Dan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Nov 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619936549 NPPES
Idaho MEDICAID 003958400

Popular Providers