Provider Demographics
NPI:1417998527
Name:SCHULTZ, DAN N (DC)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:N
Last Name:SCHULTZ
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 1:15694 S US 27
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-1486
Mailing Address - Country:US
Mailing Address - Phone:517-267-9888
Mailing Address - Fax:517-267-9051
Practice Address - Street 1:15694 S US 27
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-1486
Practice Address - Country:US
Practice Address - Phone:517-267-9888
Practice Address - Fax:517-267-9051
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDS005842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0N35470Medicare PIN
MION35470Medicare PIN
MION35470-01Medicare UPIN
U33204Medicare UPIN