Shultz, Kirkwood Tanner

Shultz, Kirkwood Tanner is an sole proprietor health care provider with primary practice located at 19900 W Catawba Ave Suite C, Cornelius NC 28031-4032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Shultz, Kirkwood Tanner can be contacted via phone (800) 277-8151.

Contact Information

Primary practice address
19900 W Catawba Ave Suite C Cornelius NC 28031-4032
Phone: (800) 277-8151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 3870 North Carolina

Profile Details

NPI number 1760477210
LBN Legal business name Shultz, Kirkwood Tanner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2005
Last updated Jan 3rd, 2008 - about 17 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 1760477210 NPPES
North Carolina MEDICAID 8976095
North Carolina Other P00095122

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