Provider Demographics
NPI:1801880968
Name:SCHULTE, AMY L (PAC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 SOUTH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2775
Mailing Address - Country:US
Mailing Address - Phone:724-261-5556
Mailing Address - Fax:724-837-8984
Practice Address - Street 1:530 SOUTH ST FL 2
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2775
Practice Address - Country:US
Practice Address - Phone:724-261-5556
Practice Address - Fax:724-837-8984
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA050781363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q231680001Medicare UPIN
082845GWWMedicare ID - Type Unspecified