Provider Demographics
NPI:1407578198
Name:SCHUTTE, JACOB NEAL (DC)
Entity Type:Individual
Prefix:DR
First Name:JACOB
Middle Name:NEAL
Last Name:SCHUTTE
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 1:10622 STATE ROUTE 662 W
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-8845
Mailing Address - Country:US
Mailing Address - Phone:812-490-9800
Mailing Address - Fax:812-490-9801
Practice Address - Street 1:10622 STATE ROUTE 662 W
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8845
Practice Address - Country:US
Practice Address - Phone:812-490-9800
Practice Address - Fax:812-490-9801
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003335A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor