Provider Demographics
NPI:1679275630
Name:SCHULZE, DYLAN (DC)
Entity Type:Individual
Prefix:
First Name:DYLAN
Middle Name:
Last Name:SCHULZE
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 1:9802 W BELL RD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-9998
Mailing Address - Country:US
Mailing Address - Phone:602-327-5607
Mailing Address - Fax:
Practice Address - Street 1:9802 W BELL RD STE 1744
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-9998
Practice Address - Country:US
Practice Address - Phone:602-327-5607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9270111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor