Provider Demographics
NPI:1366080582
Name:MATTHEW E. SCHANTZ, M.D.
Entity type:Organization
Organization Name:MATTHEW E. SCHANTZ, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-853-6136
Mailing Address - Street 1:206 S MILITARY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LORETTO
Mailing Address - State:TN
Mailing Address - Zip Code:38469-2101
Mailing Address - Country:US
Mailing Address - Phone:931-853-6136
Mailing Address - Fax:931-853-6137
Practice Address - Street 1:206 S MILITARY ST STE 1
Practice Address - Street 2:
Practice Address - City:LORETTO
Practice Address - State:TN
Practice Address - Zip Code:38469-2101
Practice Address - Country:US
Practice Address - Phone:931-853-6136
Practice Address - Fax:931-853-6137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care