Provider Demographics
NPI:1952467938
Name:SHULTZ, MIRIAM CLARE (DC)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:CLARE
Last Name:SHULTZ
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 1:809 CULLMAN RD
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-5817
Mailing Address - Country:US
Mailing Address - Phone:256-586-1122
Mailing Address - Fax:256-931-0464
Practice Address - Street 1:809 CULLMAN RD
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-5817
Practice Address - Country:US
Practice Address - Phone:256-586-1122
Practice Address - Fax:256-931-0464
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0691111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor