Healthcare Provider Details

I. General information

NPI: 1174442347
Provider Name (Legal Business Name): ELIZABETH SCHULTZ
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

579 RAVINE VIEW DR
AKRON OH
44303-1623
US

IV. Provider business mailing address

579 RAVINE VIEW DR
AKRON OH
44303-1623
US

V. Phone/Fax

Practice location:
  • Phone: 618-713-5438
  • Fax:
Mailing address:
  • Phone: 618-713-5438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: