Healthcare Provider Details

I. General information

NPI: 1609916642
Provider Name (Legal Business Name): LOUISE SCHULKERS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 COOK RD
LEBANON OH
45036
US

IV. Provider business mailing address

214 COMMONWEALTH AVE
ERLANGER KY
41018-1746
US

V. Phone/Fax

Practice location:
  • Phone: 513-932-4268
  • Fax: 513-932-0295
Mailing address:
  • Phone: 859-991-5815
  • Fax: 513-932-4268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number11651
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number0268
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: