Stultz, Debra
Stultz, Debra is an sole proprietor health care provider with primary practice located at 6171 Childers Rd , Barboursville WV 25504-1227. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Stultz, Debra can be contacted via phone (304) 733-5380.Contact Information
Primary practice address
6171 Childers Rd
Barboursville WV 25504-1227
Phone: (304) 733-5380
Fax: (304) 733-5796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 16672 | West Virginia |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 16672 | West Virginia |
Profile Details
| NPI number | 1346249836 |
|---|---|
| LBN Legal business name | Stultz, Debra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Oct 23rd, 2015 - about 9 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 | 1346249836 | NPPES |
| West Virginia | MEDICAID | 0115698000 | |
| West Virginia | Other | 1346249836 | |
| West Virginia | Other | 134634936 | |
| West Virginia | Other | 1346248936 | |
| West Virginia | Other | 4510542 | |
| West Virginia | Other | 1061788 | |
| West Virginia | Other | 271667227 | |
| West Virginia | Other | 1346249836 | |
| West Virginia | Other | 271667227 | |
| West Virginia | MEDICAID | 3810018468 | |
| West Virginia | Other | 1346249836 | |
| West Virginia | Other | 271667227 |
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