Schmults, Chrysalyne D

Schmults, Chrysalyne D is an individual health care provider with primary practice located at 1153 Centre St Ste 4349 , Jamaica Plain MA 02130-3446. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Schmults, Chrysalyne D can be contacted via phone (617) 983-4626.

Contact Information

Primary practice address
1153 Centre St Ste 4349 Jamaica Plain MA 02130-3446
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD421829 Pennsylvania
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 233967 Massachusetts

Profile Details

NPI number 1144255746
LBN Legal business name Schmults, Chrysalyne D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 5th, 2012 - about 14 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 1144255746 NPPES
Pennsylvania MEDICAID 0019632470001

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