Schultz, Marian R

Schultz, Marian R is an sole proprietor health care provider with primary practice located at 6060 Portal Way , Ferndale WA 98248-7833. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Schultz, Marian R can be contacted via phone (360) 676-6177.

Contact Information

Primary practice address
6060 Portal Way Ferndale WA 98248-7833
Phone: (360) 676-6177
Fax: (360) 671-3574
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LW00004371 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 149.012346 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00004371 Washington

Profile Details

NPI number 1982684304
LBN Legal business name Schultz, Marian R
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Jul 10th, 2019 - about 5 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 1982684304 NPPES
Idaho MEDICAID 002788200
Idaho Other 2233222
Idaho Other 000010016208

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