Provider Demographics
NPI:1811159577
Name:SCHULDT CHIROPRACTIC A CREATING WELLNESS CENTER PC
Entity type:Organization
Organization Name:SCHULDT CHIROPRACTIC A CREATING WELLNESS CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHULDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-461-3755
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
09579OtherBLUE CROSS BLUE SHIELD
NE10025638400Medicaid
22572OtherMIDLANDS CHOICE
350014406OtherRAILROAD MEDICARE
091573Medicare PIN
T40228Medicare UPIN