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NPI Code Detail

MEDICARE: JOSEPH J SCHULZ MD

MEDICARE: JOSEPH J SCHULZ MD
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
1174400000XSpecialist0101020670VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
155093OTHERVAOPTIMA

General Provider Information

NPI Number : 1760487326
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH J SCHULZ MD
Provider Business Mailing Address
First Line : 5900 LAKE WRIGHT DR
Second Line : SUITE 300
City : NORFOLK
State : VA
Zip : 23502-1871
Country : US
Telephone Number : 757-213-5700
Fax Number : 757-213-5701
Provider Business Practice Location Address
First Line : 895 MIDDLE GROUND BLVD
Second Line : BLDG 200
City : NEWPORT NEWS
State : VA
Zip : 23606-4250
Country : US
Telephone Number : 757-873-9400
Fax Number : 757-873-9420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 12/12/2007

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