Provider Demographics
NPI:1629576012
Name:SCHULTZ ACUPUNCTURE & THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:SCHULTZ ACUPUNCTURE & THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:608-358-7420
Mailing Address - Street 1:9 SPRINGVIEW CT APT D
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-7369
Mailing Address - Country:US
Mailing Address - Phone:608-358-7420
Mailing Address - Fax:
Practice Address - Street 1:802 LOIS DR
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-1186
Practice Address - Country:US
Practice Address - Phone:608-358-7420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center