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Individual

HERALD E SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1221 MICHIGAN ST, SANDPOINT, ID 83864-1745
(208) 265-0534
(208) 265-0875
Mailing address
PO BOX 363, SANDPOINT, ID 83864-0363
(208) 265-0534
(208) 265-0875

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1575
ID
225100000X
Physical Therapist
PTL3518
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10142849
BLUE SHIELD PROVIDER #
ID
05
806611601
ID
01
T7382
BLUE CROSS PROVIDER NUMBE
ID
Enumeration date
01/08/2007
Last updated
06/10/2009
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