Schultz, Charles Leroy Frederick

Schultz, Charles Leroy Frederick is an individual health care provider with primary practice located at 801 York St , Manitowoc WI 54220-4630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Schultz, Charles Leroy Frederick can be contacted via phone (920) 683-5278.

Contact Information

Primary practice address
801 York St Manitowoc WI 54220-4630
Phone: (920) 683-5278
Fax: (920) 686-9674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 76987-20 Wisconsin
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 76987-20 Wisconsin
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 76987-20 Wisconsin

Profile Details

NPI number 1356880868
LBN Legal business name Schultz, Charles Leroy Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2017
Last updated Jan 9th, 2024 - about 2 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 1356880868 NPPES
Other NONE NONE

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