Schultheis, Chad William

Schultheis, Chad William is an individual health care provider with primary practice located at 445 S Landmark Ave , Bloomington IN 47403-5004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Schultheis, Chad William can be contacted via phone (812) 353-3450.

Contact Information

Primary practice address
445 S Landmark Ave Bloomington IN 47403-5004
Phone: (812) 353-3450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01047349 Indiana

Profile Details

NPI number 1295708022
LBN Legal business name Schultheis, Chad William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Nov 8th, 2021 - about 4 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 1295708022 NPPES
Indiana MEDICAID 200132090

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