Schultz, Harley S

Schultz, Harley S is an individual health care provider with primary practice located at 13851 E 14Th St #305, San Leandro CA 94578-2631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Schultz, Harley S can be contacted via phone (510) 351-1193.

Contact Information

Primary practice address
13851 E 14Th St #305 San Leandro CA 94578-2631
Phone: (510) 351-1193
Fax: (510) 351-6456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G36475 California

Profile Details

NPI number 1619939436
LBN Legal business name Schultz, Harley S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Sep 23rd, 2014 - about 12 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 1619939436 NPPES
California Other 110006522 PTAN
California Other ZZZ15328Z PTAN

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