Provider Demographics
NPI:1598852881
Name:SCHULTZ, DANIEL W (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:W
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 1:9775 S MARYLAND PKWY
Mailing Address - Street 2:STE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7122
Mailing Address - Country:US
Mailing Address - Phone:702-837-0392
Mailing Address - Fax:702-320-4148
Practice Address - Street 1:9775 S MARYLAND PKWY
Practice Address - Street 2:STE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7122
Practice Address - Country:US
Practice Address - Phone:702-837-0392
Practice Address - Fax:702-320-4148
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB0997111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV10382Medicare UPIN
NV102751Medicare PIN