Provider Demographics
NPI:1871259143
Name:SCHILTZ, COLLIN JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:COLLIN
Middle Name:JOSEPH
Last Name:SCHILTZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 E GRANTVIEW DR STE 202
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-3508
Mailing Address - Country:US
Mailing Address - Phone:319-338-7025
Mailing Address - Fax:
Practice Address - Street 1:2201 E GRANTVIEW DR STE 202
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-3508
Practice Address - Country:US
Practice Address - Phone:319-338-7025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA111596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor