Provider Demographics
NPI:1184643645
Name:SCHULZ CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:SCHULZ CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-395-8800
Mailing Address - Street 1:726 CHURCH ST
Mailing Address - Street 2:P.O. BOX 864
Mailing Address - City:FOGELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18051
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005624L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASC1821166OtherHIGHMARK BLUE SHIELD
PA02898000OtherCAPITAL BLUE CROSS
110334Medicare PIN