Schultz, Brent Earl

Schultz, Brent Earl is an individual health care provider with primary practice located at 370 E Virginia Avenue Suite 100, Phoenix AZ 85004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Schultz, Brent Earl can be contacted via phone (602) 258-4788.

Contact Information

Primary practice address
370 E Virginia Avenue Suite 100 Phoenix AZ 85004
Fax: (602) 258-5131
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ML20009077 Washington
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 51020 Arizona

Profile Details

NPI number 1760682660
LBN Legal business name Schultz, Brent Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Oct 1st, 2015 - about 11 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 1760682660 NPPES
Arizona MEDICAID 055418

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