Provider Demographics
NPI:1942207816
Name:SCHULZ, BRIAN CLIFFORD (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:CLIFFORD
Last Name:SCHULZ
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 1:8601 W CROSS DR
Mailing Address - Street 2:UNIT A5
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2200
Mailing Address - Country:US
Mailing Address - Phone:502-839-7774
Mailing Address - Fax:502-839-7761
Practice Address - Street 1:8601 W CROSS DR UNIT A5
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2200
Practice Address - Country:US
Practice Address - Phone:720-583-4686
Practice Address - Fax:720-580-8002
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002246A111N00000X
KY4703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY850002798Medicaid
U90958Medicare UPIN
6094511Medicare PIN