Shultz, Sabrina M
Shultz, Sabrina M is an individual health care provider with primary practice located at 18 Ginger Creek Pkwy , Glen Carbon IL 62034-3502. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shultz, Sabrina M can be contacted via phone (618) 656-7774.Contact Information
Primary practice address
18 Ginger Creek Pkwy
Glen Carbon IL 62034-3502
Phone: (618) 656-7774
Fax: (618) 656-0536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046009802 | Illinois |
Profile Details
| NPI number | 1316086580 |
|---|---|
| LBN Legal business name | Shultz, Sabrina M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | May 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316086580 | NPPES |
| Illinois | MEDICAID | 046009802 |
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