1851818751 NPI number — MS. JERI RENE MORRIS SCHMIDT DA

Table of content: MS. JERI RENE MORRIS SCHMIDT DA (NPI 1851818751)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851818751 NPI number — MS. JERI RENE MORRIS SCHMIDT DA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORRIS SCHMIDT
Provider First Name:
JERI
Provider Middle Name:
RENE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
DA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851818751
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/08/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7380 GLENBURN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FOUNTAIN
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80817-4087
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7380 GLENBURN DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FOUNTAIN
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80817-4087
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-317-0310
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/23/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 126800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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