Provider Demographics
NPI:1487961843
Name:THOMAS J. SCHULTE, D.C, P.A.
Entity type:Organization
Organization Name:THOMAS J. SCHULTE, D.C, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHULTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-394-0528
Mailing Address - Street 1:291 S COLLIER BLVD
Mailing Address - Street 2:UNIT 109
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-4858
Mailing Address - Country:US
Mailing Address - Phone:239-394-7221
Mailing Address - Fax:239-394-0528
Practice Address - Street 1:291 S COLLIER BLVD
Practice Address - Street 2:UNIT 109
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34145-4858
Practice Address - Country:US
Practice Address - Phone:239-394-7221
Practice Address - Fax:239-394-0528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22231Medicare PIN
FLU20297Medicare UPIN