Provider Demographics
NPI:1194724377
Name:SCHULTE, ERIC F (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:F
Last Name:SCHULTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7863 BROADWAY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5553
Mailing Address - Country:US
Mailing Address - Phone:219-769-3678
Mailing Address - Fax:219-736-5638
Practice Address - Street 1:7863 BROADWAY
Practice Address - Street 2:SUITE 140
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5553
Practice Address - Country:US
Practice Address - Phone:219-769-3678
Practice Address - Fax:219-736-5638
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01035204A207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200911270AMedicaid
INE03766Medicare UPIN
IN060052675Medicare PIN
IN200911270AMedicaid
IN257880AMedicare PIN