Provider Demographics
NPI:1881935385
Name:SCHULKE, REBECCA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MARIE
Last Name:SCHULKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 EXECUTIVE DR STE J
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2993
Mailing Address - Country:US
Mailing Address - Phone:317-853-6666
Mailing Address - Fax:317-853-6666
Practice Address - Street 1:75 EXECUTIVE DR STE J
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2993
Practice Address - Country:US
Practice Address - Phone:317-853-6666
Practice Address - Fax:317-853-6666
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002703A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor