Shoultz, Michael Dale

Shoultz, Michael Dale is an sole proprietor health care provider with primary practice located at 2622 Hoard St , Madison WI 53704-4827. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shoultz, Michael Dale can be contacted via phone (608) 345-8277.

Contact Information

Primary practice address
2622 Hoard St Madison WI 53704-4827
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 137960 Wisconsin

Profile Details

NPI number 1043835440
LBN Legal business name Shoultz, Michael Dale
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2020
Last updated Jun 11th, 2020 - about 5 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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