Provider Demographics
NPI:1629236401
Name:SHULTZ, WALTER ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:ANDREW
Last Name:SHULTZ
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 1:6 OLIVER RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2378
Mailing Address - Country:US
Mailing Address - Phone:724-438-4200
Mailing Address - Fax:
Practice Address - Street 1:6 OLIVER RD
Practice Address - Street 2:SUITE 112
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2378
Practice Address - Country:US
Practice Address - Phone:724-438-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009958111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor