Schultz, Jill
Schultz, Jill is an individual health care provider with primary practice located at 15704 90Th St Ne Suite 100, Otsego MN 55330-7448. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Schultz, Jill can be contacted via phone (763) 241-1090.Contact Information
Primary practice address
15704 90Th St Ne Suite 100
Otsego MN 55330-7448
Phone: (763) 241-1090
Fax: (763) 241-1091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2919 | Minnesota |
Profile Details
| NPI number | 1932111911 |
|---|---|
| LBN Legal business name | Schultz, Jill |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Mar 18th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932111911 | NPPES |
| Minnesota | MEDICAID | 150147000 |
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