Provider Demographics
NPI:1053607739
Name:SCHULZE FAMILY CHIROPRACTIC, INC
Entity type:Organization
Organization Name:SCHULZE FAMILY CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SCHULZE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-665-2025
Mailing Address - Street 1:8501 CAMINO MEDIA
Mailing Address - Street 2:STE 200
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1354
Mailing Address - Country:US
Mailing Address - Phone:661-655-2025
Mailing Address - Fax:661-665-8858
Practice Address - Street 1:8501 CAMINO MEDIA
Practice Address - Street 2:STE 200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1354
Practice Address - Country:US
Practice Address - Phone:661-655-2025
Practice Address - Fax:661-665-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27639261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center