Basic Information
Provider Information
NPI: 1568729994
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMITT
FirstName: ALAN
MiddleName: JOHN
NamePrefix: MR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1200 W WHITE RIVER BLVD
Address2:  
City: MUNCIE
State: IN
PostalCode: 473034988
CountryCode: US
TelephoneNumber: 8776685621
FaxNumber:  
Practice Location
Address1: 2401 W UNIVERSITY AVE
Address2:  
City: MUNCIE
State: IN
PostalCode: 473033428
CountryCode: US
TelephoneNumber: 7657473111
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/23/2012
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X01077960AINY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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