Provider Demographics
NPI:1922402486
Name:SCHAULAND, SCOTT (LAC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:SCHAULAND
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6739 COURTLAND DR NE STE 201
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-7217
Mailing Address - Country:US
Mailing Address - Phone:616-325-6424
Mailing Address - Fax:
Practice Address - Street 1:6739 COURTLAND DR NE STE 201
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-7217
Practice Address - Country:US
Practice Address - Phone:616-325-6424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist