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NPI Code Detail

MEDICARE: CHAD WILLIAM SCHULTHEIS M.D.

MEDICARE: CHAD WILLIAM SCHULTHEIS M.D.
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
12084P0800XPsychiatry Physician01047349IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295708022
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD WILLIAM SCHULTHEIS M.D.
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number : 317-948-9174
Fax Number :
Provider Business Practice Location Address
First Line : 445 S LANDMARK AVE
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-5004
Country : US
Telephone Number : 812-353-3450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 11/08/2021

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Directions to “ CHAD WILLIAM SCHULTHEIS M.D.” Practice Location

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