Provider Demographics
NPI:1033149463
Name:SCHULZ, RODNEY CARL (DC)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:CARL
Last Name:SCHULZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 CHURCH STREET
Mailing Address - Street 2:PO BOX 864
Mailing Address - City:FOGELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18051-0864
Mailing Address - Country:US
Mailing Address - Phone:610-395-8800
Mailing Address - Fax:610-530-8940
Practice Address - Street 1:726 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:FOGELSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18051-0864
Practice Address - Country:US
Practice Address - Phone:610-395-8800
Practice Address - Fax:610-530-8940
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005624L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU58705Medicare UPIN
PA780843WF1Medicare PIN