Provider Demographics
NPI:1174653661
Name:SCHUTZ, PAUL L (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:L
Last Name:SCHUTZ
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 1:9505 N DIVISION ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1232
Mailing Address - Country:US
Mailing Address - Phone:509-466-9209
Mailing Address - Fax:509-466-6220
Practice Address - Street 1:9505 N DIVISION ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1232
Practice Address - Country:US
Practice Address - Phone:509-466-9209
Practice Address - Fax:509-466-6220
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA98575OtherLABOR AND INDUSTRIES
WAT02447Medicare UPIN