Shultz, Mitra S.

Shultz, Mitra S. is an individual health care provider with primary practice located at 2044 Madison Ave Ste 6 , Granite City IL 62040-4659. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shultz, Mitra S. can be contacted via phone (618) 798-3475.

Contact Information

Primary practice address
2044 Madison Ave Ste 6 Granite City IL 62040-4659
Phone: (618) 798-3475
Fax: (618) 798-3868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006383 Illinois

Profile Details

NPI number 1831600667
LBN Legal business name Shultz, Mitra S.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2017
Last updated Oct 19th, 2017 - about 7 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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