Schultheiss, Kim Evelyn
Schultheiss, Kim Evelyn is an sole proprietor health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Schultheiss, Kim Evelyn can be contacted via phone (770) 219-2627.Contact Information
Primary practice address
743 Spring St Ne
Gainesville GA 30501
Phone: (770) 219-2627
Fax: (770) 219-2627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4301087089 | Michigan |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036113869 | Illinois |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD60429831 | Washington |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD60429831 | Virginia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 074354 | Georgia |
Profile Details
| NPI number | 1831227560 |
|---|---|
| LBN Legal business name | Schultheiss, Kim Evelyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Oct 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831227560 | NPPES |
| Illinois | Other | 36113869 | ILLINIOS LICENSE |
| Illinois | Other | MD60429831 | ILLINIOS LICENSE |
| Illinois | Other | 4301087089 | ILLINIOS LICENSE |
| Illinois | Other | MD425491 | ILLINIOS LICENSE |
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