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
Phone: (618) 482-7922
Fax: (618) 482-7881
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588778831 | NPPES |
Illinois | MEDICAID | 019025883 |
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