Provider Demographics
NPI:1184711558
Name:SCHULDT, DANIEL D (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:SCHULDT
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 1:2608 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-4606
Mailing Address - Country:US
Mailing Address - Phone:402-461-3755
Mailing Address - Fax:402-461-3792
Practice Address - Street 1:2608 W 2ND ST
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-4606
Practice Address - Country:US
Practice Address - Phone:402-461-3755
Practice Address - Fax:402-461-3792
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025638401Medicaid
NE22572OtherMIDLANDS CHOICE
NE09579OtherBLUE CROSS BLUE SHIELD
NE350014406OtherRAILROAD MEDICARE
NE350014406OtherRAILROAD MEDICARE
NE09579OtherBLUE CROSS BLUE SHIELD