Healthcare Provider Details

I. General information

NPI: 1649260993
Provider Name (Legal Business Name): PAUL S SCHULZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 01/21/2021
Certification Date: 01/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 NORTON HEALTHCARE BLVD STE 303
LOUISVILLE KY
40241-2848
US

IV. Provider business mailing address

PO BOX 950202
LOUISVILLE KY
40295-0202
US

V. Phone/Fax

Practice location:
  • Phone: 502-394-6470
  • Fax: 502-394-6477
Mailing address:
  • Phone: 502-272-5100
  • Fax: 502-272-5116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number01052997A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35859
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: