Individual
JEROME JOHN SCHULTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 PHILADELPHIA DR, SUITE 4505, DAYTON, OH 45406-1840
(937) 734-2446
(937) 734-4219
Mailing address
2222 PHILADELPHIA DR, SUITE 4505, DAYTON, OH 45406-1813
(937) 734-4363
(937) 734-4181
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
35-05-9121
OH
2084P0800X
Psychiatry Physician
Primary
35-05-9121
OH
2084P0805X
Geriatric Psychiatry Physician
35-05-9121
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050179
—
OH
Enumeration date
01/09/2007
Last updated
11/21/2013
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