MEDICARE: JOHN EDWIN SHULZE BSEE MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZB0301X	Biomedical Engineer

General Provider Information

NPI Number	:	1265025068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN EDWIN SHULZE BSEE MBA

Provider Business Mailing Address
First Line	:	3172 N RAINBOW BLVD UNIT 81053
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4534
Country	:	US
Telephone Number	:	949-923-0832
Fax Number	:

Provider Business Practice Location Address
First Line	:	322 KAREN AVE UNIT 2005
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-0433
Country	:	US
Telephone Number	:	949-923-0832
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2021
Last Update Date	:	02/12/2021

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