Shultz, Joanne C

Shultz, Joanne C is an individual health care provider with primary practice located at 2134 Sandy Dr Ste 16 , State College PA 16803-2292. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shultz, Joanne C can be contacted via phone (814) 272-5805.

Contact Information

Primary practice address
2134 Sandy Dr Ste 16 State College PA 16803-2292
Fax: (814) 272-0110
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X UP004244-B Pennsylvania

Profile Details

NPI number 1649267808
LBN Legal business name Shultz, Joanne C
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Oct 31st, 2019 - about 5 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 1649267808 NPPES
Pennsylvania Other 50017752 CAPITAL BC/BS
Pennsylvania Other 340344 CAPITAL BC/BS
Pennsylvania Other 500030393 CAPITAL BC/BS

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