Healthcare Provider Details

I. General information

NPI: 1720087042
Provider Name (Legal Business Name): DANA JOSEPH SCHULTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3643 RIDGE MILL DR
HILLIARD OH
43026-7752
US

IV. Provider business mailing address

3643 RIDGE MILL DR
HILLIARD OH
43026-7752
US

V. Phone/Fax

Practice location:
  • Phone: 614-771-0200
  • Fax: 614-771-5267
Mailing address:
  • Phone: 614-771-0200
  • Fax: 614-771-5267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35-05-5265-S
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: