Provider Demographics
NPI:1235533902
Name:SCHULTZ, ERIKA
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3455 HURON VIEW CT.
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130
Mailing Address - Country:US
Mailing Address - Phone:512-529-7037
Mailing Address - Fax:
Practice Address - Street 1:5589 E M 36
Practice Address - Street 2:SUITE B6
Practice Address - City:PINCKNEY
Practice Address - State:MI
Practice Address - Zip Code:48169-9260
Practice Address - Country:US
Practice Address - Phone:810-512-2957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01506171100000X
MI5401000174171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist