Schultz, Mark A

Schultz, Mark A is an individual health care provider with primary practice located at 725 American Ave Suite 5, Waukesha WI 53188-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Schultz, Mark A can be contacted via phone (262) 928-2475.

Contact Information

Primary practice address
725 American Ave Suite 5 Waukesha WI 53188-5031
Phone: (262) 928-2475
Fax: (262) 928-5697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35429-021 Wisconsin

Profile Details

NPI number 1902876428
LBN Legal business name Schultz, Mark A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jan 28th, 2014 - about 10 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 1902876428 NPPES
Wisconsin MEDICAID 30061800

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