Provider Demographics
NPI:1871593780
Name:SCHUFELDT, LAWRENCE H (DC)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:H
Last Name:SCHUFELDT
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 1:414 N WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-3855
Mailing Address - Country:US
Mailing Address - Phone:308-534-2300
Mailing Address - Fax:308-534-2303
Practice Address - Street 1:414 N WILLOW ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-3855
Practice Address - Country:US
Practice Address - Phone:308-534-2300
Practice Address - Fax:308-534-2303
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE99544OtherBCBS OF NEBRASKA
NE47084079300Medicaid
NET40221Medicare UPIN
NE274514Medicare ID - Type Unspecified