Individual
CARLIE GRACE SCHULTHEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 E COUNTY LINE RD STE 300, INDIANAPOLIS, IN 46227-0990
(317) 497-2300
(317) 497-2502
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004933A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300118228
—
IN
Enumeration date
05/21/2025
Last updated
09/24/2025
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