Schultz Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3766-012 Issued in WI

Legal business name

SCHULTZ CHIROPRACTIC LLC

Practice address

1650 Hallie Rd
Chippewa Falls, WI 54729-6521

Phone

(715) 831-6052

Fax

(715) 831-6141

NPI assigned

Jun 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin E Schultz, DC

Title

Owner

Phone

(715) 831-6052

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Hallie Chiropractic Doing business as
• M.Y. Life Health Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1962661264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HALLIE RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296521",
            "telephone_number": "715-831-6052",
            "fax_number": "715-831-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HALLIE RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296521",
            "telephone_number": "715-831-6052",
            "fax_number": "715-831-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHULTZ CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-831-6052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3766-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33-3899900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hallie Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M.Y. Life Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy J Schmitt, DNP
• Antoine Demar Schneider
• Kelly L Schoen, LPN
• Matthew Schuette, DPT
• Regan Schuette, DPT
• Kevin Elmer Schultz, D.C.
• Ben J Sebranek, MS, CADC III
• Second Springs Care LLC
• Monica Seiberling, OTR/CHT
• Kristen Lee Seidler, MS, SAC, PC-IT

• Chiropractor in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.