MEDICARE: DR. NATHAN SCHILATY

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	111N00000X	Chiropractor	6020	CO

General Provider Information

NPI Number	:	1669662342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHAN SCHILATY

Provider Business Mailing Address
First Line	:	1762 HOFFMAN DR
Second Line	:	STE. H
City	:	LOVELAND
State	:	CO
Zip	:	80538-4292
Country	:	US
Telephone Number	:	970-663-6677
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-4292
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

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

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	01/11/2021

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Directions to “ DR. NATHAN SCHILATY ” Practice Location

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