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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 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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