Provider Demographics
NPI:1154335339
Name:SCHULTE, HEATHER D
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:D
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:LYNDON
Mailing Address - State:KS
Mailing Address - Zip Code:66451-9496
Mailing Address - Country:US
Mailing Address - Phone:785-828-4213
Mailing Address - Fax:
Practice Address - Street 1:617 JACKSON ST
Practice Address - Street 2:
Practice Address - City:LYNDON
Practice Address - State:KS
Practice Address - Zip Code:66451-9496
Practice Address - Country:US
Practice Address - Phone:785-828-4213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based