Schmidt, Roy A

Schmidt, Roy A is an individual health care provider with primary practice located at 15 Stonebridge Blvd , Jackson TN 38305-2042. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Schmidt, Roy A can be contacted via phone (731) 660-2056.

Contact Information

Primary practice address
15 Stonebridge Blvd Jackson TN 38305-2042
Phone: (731) 660-2056
Fax: (731) 661-9092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD22099 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD22099 Tennessee
Other Service Providers / Specialist 174400000X 22099 Tennessee

Profile Details

NPI number 1538109855
LBN Legal business name Schmidt, Roy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 18th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538109855 NPPES
Tennessee MEDICAID 3380640
Tennessee Other 030670000
Tennessee Other 000000378004
Tennessee Other C20829
Tennessee Other 50007501
Tennessee MEDICAID 64095367

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