Schultz, Scott Christopher

Schultz, Scott Christopher is an individual health care provider with primary practice located at 1835 Kingshighway , Washington Park IL 62204. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Schultz, Scott Christopher can be contacted via phone (618) 482-7922.

Contact Information

Primary practice address
1835 Kingshighway Washington Park IL 62204
Fax: (618) 482-7881
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019025883 Illinois
Dental Providers / General Practice 1223G0001X 2006013283 Missouri

Profile Details

NPI number 1588778831
LBN Legal business name Schultz, Scott Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jan 30th, 2012 - about 13 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 1588778831 NPPES
Illinois MEDICAID 019025883

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