Shultz, John C

Shultz, John C is an individual health care provider with primary practice located at 9080 Leavitt Rd , Elyria OH 44035. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Shultz, John C can be contacted via phone (440) 986-2600.

Contact Information

Primary practice address
9080 Leavitt Rd Elyria OH 44035
Phone: (440) 986-2600
Fax: (440) 986-2603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3260 Ohio
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3260 Ohio

Profile Details

NPI number 1154358059
LBN Legal business name Shultz, John C
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1154358059 NPPES
Ohio Other 000000140736 ANTHEM BCBS

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