Shoultz, Charles Arthur

Shoultz, Charles Arthur is an individual health care provider with primary practice located at 7125 New Sanger Avenue Ste A, Waco TX 76712-4054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shoultz, Charles Arthur can be contacted via phone (254) 399-5400.

Contact Information

Primary practice address
7125 New Sanger Avenue Ste A Waco TX 76712-4054
Fax: (254) 772-8669
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D7681 Texas

Profile Details

NPI number 1316949639
LBN Legal business name Shoultz, Charles Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 7th, 2011 - 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 1316949639 NPPES
Texas Other 95994 SWHP
Texas Other 100344101 SWHP
Texas MEDICAID 137731904 SWHP
Texas Other 109244303 SWHP
Texas MEDICAID 137731906 SWHP
Texas Other 816581 SWHP
Texas Other 4341071 SWHP
Texas Other 74178408876712A002 SWHP
Texas Other 757645 SWHP

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