Stultz, Richard Jay

Stultz, Richard Jay is an individual health care provider with primary practice located at 3900 N Bay Dr , Racine WI 53402-3632. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stultz, Richard Jay can be contacted via phone (262) 639-1600.

Contact Information

Primary practice address
3900 N Bay Dr Racine WI 53402-3632
Phone: (262) 639-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5001078-015 Wisconsin

Profile Details

NPI number 1639179047
LBN Legal business name Stultz, Richard Jay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 18 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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