Provider Demographics
NPI:1831593821
Name:SCHULTZ, BRITTANY CAMILLE (DR TCM)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:CAMILLE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:DR TCM
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:CAMILLE
Other - Last Name:ALLOMONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:2510 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220
Mailing Address - Country:US
Mailing Address - Phone:920-629-6126
Mailing Address - Fax:920-374-4736
Practice Address - Street 1:2510 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220
Practice Address - Country:US
Practice Address - Phone:920-374-4736
Practice Address - Fax:920-374-4736
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI771-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist