Shultz, Eric W
Shultz, Eric W is an individual health care provider with primary practice located at 1205 Beach Blvd , Jacksonville Beach FL 32250-3405. He recently has 7 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Shultz, Eric W can be contacted via phone (904) 389-0346.Contact Information
Primary practice address
1205 Beach Blvd
Jacksonville Beach FL 32250-3405
Phone: (904) 389-0346
Fax: (904) 246-5449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO1898 | Florida |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | PO1898 | Florida |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO1898 | Florida |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | PO1898 | Florida |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | PO1898 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO1898 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO1898 | Florida |
Profile Details
| NPI number | 1366628075 |
|---|---|
| LBN Legal business name | Shultz, Eric W |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2008 |
| Last updated | Apr 3rd, 2017 - about 7 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 | 1366628075 | NPPES |
| Florida | MEDICAID | 390193900 | |
| Florida | Other | 480020923 | |
| Florida | Other | 65159 |
Popular Providers
-
Cloud, Evelyn M
8211 Mar Del Plata St E , Jacksonville FL 32256-7349 -
Yant, Robert D
1914 Southside Blvd Ste 1, Jacksonville FL 32216-1930 -
Groshell, Howard J
1205 Beach Blvd , Jacksonville Beach FL 32250-3405 -
Anderson, John S
1914 Southside Blvd Ste 1, Jacksonville FL 32216-1930 -
Ruckh, Eugene E.
3890 Dunn Ave Ste 101, Jacksonville FL 32218-6428 -
Tillo, Timothy H
12276 San Jose Blvd Ste 606, Jacksonville FL 32223-8672 -
Matey, Mark Andrew
13241 Bartram Park Blvd Suite 1809, Jacksonville FL 32258-5227 -
Toney, Michael Eric
3636 University Blvd S Bldg C, Jacksonville FL 32216-4250