Provider Demographics
NPI:1326025719
Name:SCHUL, JEFFERY L (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:L
Last Name:SCHUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7605 FOREST AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4938
Mailing Address - Country:US
Mailing Address - Phone:804-288-0055
Mailing Address - Fax:804-288-2659
Practice Address - Street 1:7605 FOREST AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4938
Practice Address - Country:US
Practice Address - Phone:804-288-0055
Practice Address - Fax:804-288-2659
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101033475207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00Y217A02OtherMEDICARE PTAN
VA224951OtherMAMSI
VA039399OtherANTHEM
VA45714OtherSENTERA
VA59496OtherSOUTHERN HEALTH
VA5697492Medicaid
VA726737OtherAETNA USHC
VA030001979Medicare ID - Type UnspecifiedRAILROAD MEDICARE
VA039399OtherANTHEM