Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 5880 | MN |
Y | 111N00000X | Chiropractor | CH11072 | FL |
NPI | 1003219825 |
---|---|
Provider Name | Dr. Colin Drew Schulze |
First Address | Sarasota, FL 34238-3110 |
Second Address | Sarasota, FL 34238-3110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2014 |
Last Update Date | 07/10/2014 |