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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
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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