Provider Demographics
NPI:1184042459
Name:SCHULZ, CAROLINE ELISE (DO)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:ELISE
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 12TH ST N
Mailing Address - Street 2:UNIT A
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-3660
Mailing Address - Country:US
Mailing Address - Phone:757-784-6496
Mailing Address - Fax:
Practice Address - Street 1:3801 FAIRFAX DR STE 44
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1762
Practice Address - Country:US
Practice Address - Phone:703-522-4780
Practice Address - Fax:703-527-8695
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102204856208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty