Schulte, Mark J

Schulte, Mark J is an sole proprietor health care provider with primary practice located at 4515 Churchman Ave , Louisville KY 40215-1109. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Schulte, Mark J can be contacted via phone (502) 361-0637.

Contact Information

Primary practice address
4515 Churchman Ave Louisville KY 40215-1109
Phone: (502) 361-0637
Fax: (502) 361-0636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4812 Kentucky

Profile Details

NPI number 1316910201
LBN Legal business name Schulte, Mark J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Aug 31st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316910201 NPPES
Kentucky MEDICAID 60048121

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