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1720358153 NPI number — NICHOLE RENE SCHULTZ DC

NPI Number: 1720358153
Health Care Provider/Practitioner: NICHOLE RENE SCHULTZ DC

Information about “1720358153” NPI (NICHOLE RENE SCHULTZ DC) exists in 1720358153 in HTML format HTML  |  1720358153 in plain Text format TXT  |  1720358153 in PDF (Portable Document Format) PDF  |  1720358153 in an XML format XML  formats.

NPI Number : 1720358153 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720358153",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHULTZ",
    "FirstName": "NICHOLE",
    "MiddleName": "RENE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YARD",
    "OtherFirstName": "NICHOLE",
    "OtherMiddleName": "RENE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "DC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1372N 59TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILWAUKEE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53208-2140",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "309-335-6618",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "17280 W NORTH AVE STE G102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKFIELD",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53045-4367",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-789-0576",
    "PracticeLocationAddressFaxNumber": "262-789-5357",
    "EnumerationDate": "01/02/2012",
    "LastUpdateDate": "03/25/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "4740-12",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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