Schmidt, John Joseph

Schmidt, John Joseph is an sole proprietor health care provider with primary practice located at 509 W 17Th St , Pueblo CO 81003-2622. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Schmidt, John Joseph can be contacted via phone (719) 543-2211.

Contact Information

Primary practice address
509 W 17Th St Pueblo CO 81003-2622
Phone: (719) 543-2211
Fax: (719) 584-4779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 26193 Colorado
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 26193 Colorado
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 26193 Colorado

Profile Details

NPI number 1306846746
LBN Legal business name Schmidt, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Oct 20th, 2015 - about 9 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 1306846746 NPPES
Colorado MEDICAID 01261932

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