Provider Demographics
NPI:1952382608
Name:SCHULTZ, CHARLES F (CP, RFO)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:F
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:CP, RFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6514 ODANA RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1124
Mailing Address - Country:US
Mailing Address - Phone:608-833-9660
Mailing Address - Fax:608-833-4733
Practice Address - Street 1:6514 ODANA RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1124
Practice Address - Country:US
Practice Address - Phone:608-833-9660
Practice Address - Fax:608-833-4733
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist