1184643645 NPI number — SCHULZ CHIROPRACTIC, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184643645 NPI number — SCHULZ CHIROPRACTIC, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SCHULZ CHIROPRACTIC, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1184643645
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
726 CHURCH ST
Provider Second Line Business Mailing Address:
P.O. BOX 864
Provider Business Mailing Address City Name:
FOGELSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18051
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-395-8800
Provider Business Mailing Address Fax Number:
610-530-8940

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
726 CHURCH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FOGELSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18051-0864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-395-8800
Provider Business Practice Location Address Fax Number:
610-530-8940
Provider Enumeration Date:
07/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHULZ
Authorized Official First Name:
RODNEY
Authorized Official Middle Name:
CARL
Authorized Official Title or Position:
PRESIDENT/CHIROPRACTOR
Authorized Official Telephone Number:
610-395-8800

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC005624L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: SC1821166 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 02898000 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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