Provider Demographics
NPI:1386809937
Name:SCHILZ, TIM RAY (HAS,HAD&F)
Entity type:Individual
Prefix:
First Name:TIM
Middle Name:RAY
Last Name:SCHILZ
Suffix:
Gender:M
Credentials:HAS,HAD&F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8313 CASS ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3529
Mailing Address - Country:US
Mailing Address - Phone:402-391-0811
Mailing Address - Fax:
Practice Address - Street 1:8313 CASS ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3529
Practice Address - Country:US
Practice Address - Phone:402-391-0811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE707237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist