Provider Demographics
NPI:1770522971
Name:SCHULTZ, CHRISTOPHER TODD (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1733 W JOHN BEERS RD
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49127-9470
Mailing Address - Country:US
Mailing Address - Phone:269-428-2500
Mailing Address - Fax:269-428-2501
Practice Address - Street 1:1733 W JOHN BEERS RD
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MI
Practice Address - Zip Code:49127-9470
Practice Address - Country:US
Practice Address - Phone:269-428-2500
Practice Address - Fax:269-428-2501
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4970111N00000X
MI2301008770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY432098644OtherAETNA
KY391658OtherANTHEM BCBS
KY00074Medicare PIN
KY432098644OtherAETNA