Shulman, Michael Jed
Shulman, Michael Jed is an individual health care provider with primary practice located at 1019 W Cypress St , Rogers AR 72756-4204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shulman, Michael Jed can be contacted via phone (479) 636-6551.Contact Information
Primary practice address
1019 W Cypress St
Rogers AR 72756-4204
Phone: (479) 636-6551
Fax: (479) 631-3842
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | E4406 | Arkansas |
Profile Details
NPI number | 1093763914 |
---|---|
LBN Legal business name | Shulman, Michael Jed |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Dec 13th, 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 | 1093763914 | NPPES |
Arkansas | MEDICAID | 158156001 |
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