Healthcare Provider Details

I. General information

NPI: 1912114562
Provider Name (Legal Business Name): PATRICIA M. SCHULTZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 12/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8920 COLESVILLE RD
SILVER SPRING MD
20910-4149
US

IV. Provider business mailing address

8920 COLESVILLE RD
SILVER SPRING MD
20910-4149
US

V. Phone/Fax

Practice location:
  • Phone: 301-589-1066
  • Fax:
Mailing address:
  • Phone: 301-589-1066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number00567
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. PATRICIA M SCHULTZ
Title or Position: OWNER
Credential: DPM
Phone: 301-589-1066