Provider Demographics
NPI:1609916642
Name:SCHULKERS, LOUISE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:
Last Name:SCHULKERS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1746
Mailing Address - Country:US
Mailing Address - Phone:859-991-5815
Mailing Address - Fax:513-932-4268
Practice Address - Street 1:200 COOK RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036
Practice Address - Country:US
Practice Address - Phone:513-932-4268
Practice Address - Fax:513-932-0295
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11651171W00000X
KY0268171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0268OtherSTATE LICENSURE
KY329884-00OtherNATIONAL LLICENSURE
OH11651OtherSTATE LICENSURE