Shalts, Edward
Shalts, Edward is an sole proprietor health care provider with primary practice located at 9520 63Rd Rd Ste H , Rego Park NY 11374-1145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Shalts, Edward can be contacted via phone (718) 864-2120.Contact Information
Primary practice address
9520 63Rd Rd Ste H
Rego Park NY 11374-1145
Phone: (718) 864-2120
Fax: (888) 603-6374
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 209237 | New York |
Profile Details
NPI number | 1518035732 |
---|---|
LBN Legal business name | Shalts, Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 4th, 2006 |
Last updated | Jan 28th, 2021 - about 3 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 | 1518035732 | NPPES |
New York | MEDICAID | 01807432 |
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