Individual
CHAD WILLIAM SCHULTHEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
445 S LANDMARK AVE, BLOOMINGTON, IN 47403-5004
(812) 353-3450
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 948-9174
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01047349
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132090
—
IN
Enumeration date
02/10/2006
Last updated
11/08/2021
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