Provider Demographics
NPI:1508820739
Name:SCHULER, MARK ROBERT (BS, DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ROBERT
Last Name:SCHULER
Suffix:
Gender:M
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6225 W HIGHWAY 146 STE 1
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-7594
Mailing Address - Country:US
Mailing Address - Phone:502-241-1122
Mailing Address - Fax:502-241-4222
Practice Address - Street 1:6225 W HIGHWAY 146 STE 1
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-7594
Practice Address - Country:US
Practice Address - Phone:502-241-1122
Practice Address - Fax:502-241-4222
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4267111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85000479Medicaid
KY1150150OtherPASSPORT
KY85000479Medicaid
KYU51651Medicare UPIN