Dale Gregory Schmoll, D.C.
Individual provider Active NPI Chiropractor · Le Center, MN
NPI 1851463293 · NPPES record last updated Jun 10, 2008
Key facts
- NPI
- 1851463293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3075 (MN)
- Practice address
- 200 E Bowler St
Le Center, MN 56057-1768 - Phone
- (507) 357-2323
- Fax
- (507) 357-2370
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Wellness Center of St.Peter P.a. | Chiropractor | Past |
Accepting new patients |
| Angell Chiropractic, P.C. | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3075 | MN | Yes |
Addresses
Primary practice location
200 E Bowler St
Le Center, MN 56057-1768
Mailing address
28689 Hub Dr
Madison Lake, MN 56063-4179
Phone (507) 330-1072
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501120000 | Medicaid | MN | |
| 3C805SC | Other | MN | BLUE CROSS BLUE SHIELD OF MN |
Other providers in Le Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.