Shultz, Herbert J

Shultz, Herbert J is an sole proprietor health care provider with primary practice located at 2400 Se Blvd Unit A , Salem OH 44460. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shultz, Herbert J can be contacted via phone (330) 332-4501.

Contact Information

Primary practice address
2400 Se Blvd Unit A Salem OH 44460
Fax: (330) 332-4540
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3439T880 Ohio

Profile Details

NPI number 1013082056
LBN Legal business name Shultz, Herbert J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Oct 27th, 2008 - about 16 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 1013082056 NPPES
Ohio MEDICAID 0441678

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