Healthcare Provider Details
I. General information
NPI: 1568263739
Provider Name (Legal Business Name): ADELAIDE OLIVIA SCHULTZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/22/2025
Last Update Date: 03/22/2025
Certification Date: 03/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 RUE DE LA VIE SUITE 404
BATON ROUGE LA
70817
US
IV. Provider business mailing address
500 RUE DE LA VIE SUITE 404
BATON ROUGE LA
70817
US
V. Phone/Fax
- Phone: 225-215-7960
- Fax:
- Phone: 225-215-7960
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: