Provider Demographics
NPI:1841216876
Name:SCHULMAN, LYNN BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:BETH
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W STREET RD
Mailing Address - Street 2:SUITE B6
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-4116
Mailing Address - Country:US
Mailing Address - Phone:267-241-9816
Mailing Address - Fax:
Practice Address - Street 1:221 W STREET RD
Practice Address - Street 2:SUITE B6
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-4116
Practice Address - Country:US
Practice Address - Phone:267-241-9816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003303L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0023369000Other10 DIGIT MO ID
PA000478709OtherHIGHMARK BLSHIELD ID