Shultz, Jason G
Shultz, Jason G is an individual health care provider with primary practice located at 125 Queens Rd Ste 430 , Charlotte NC 28204-3579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Shultz, Jason G can be contacted via phone (980) 302-6700.Contact Information
Primary practice address
125 Queens Rd Ste 430
Charlotte NC 28204-3579
Phone: (980) 302-6700
Fax: (980) 302-6705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 2014-01354 | North Carolina |
Profile Details
NPI number | 1245468685 |
---|---|
LBN Legal business name | Shultz, Jason G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2009 |
Last updated | Jun 5th, 2024 - about 3 months 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 | 1245468685 | NPPES |
North Carolina | Other | 189AB | BCBS NC |
North Carolina | MEDICAID | 1245468685 | BCBS NC |
North Carolina | Other | 2014-01354 | BCBS NC |
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