Provider Demographics
NPI:1720247398
Name:SCHULTZ CHIROPRACTIC WELLNESS ZONE, P.C.
Entity Type:Organization
Organization Name:SCHULTZ CHIROPRACTIC WELLNESS ZONE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-270-2924
Mailing Address - Street 1:5850 NW 62ND AVE
Mailing Address - Street 2:BOX 708
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1537
Mailing Address - Country:US
Mailing Address - Phone:515-270-2924
Mailing Address - Fax:
Practice Address - Street 1:5850 NW 62ND AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1537
Practice Address - Country:US
Practice Address - Phone:515-270-2924
Practice Address - Fax:515-253-9920
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCHULTZ CHIROPRACTIC WELLNESS ZONE, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-08
Last Update Date:2008-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA5344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty