Schultz, Stanton G
Schultz, Stanton G is an individual health care provider with primary practice located at 416 North 12Th Street Southern Illinois Consultants For Kidney Disease, S.C., Mt. Vernon IL 62864-4314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Schultz, Stanton G can be contacted via phone (618) 244-4850.Contact Information
Primary practice address
416 North 12Th Street Southern Illinois Consultants For Kidney Disease, S.C.
Mt. Vernon IL 62864-4314
Phone: (618) 244-4850
Fax: (618) 244-7985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 1027161 | Indiana |
Profile Details
| NPI number | 1073513313 |
|---|---|
| LBN Legal business name | Schultz, Stanton G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jul 22nd, 2009 - about 17 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 | 1073513313 | NPPES |
| Indiana | MEDICAID | 100246480 | |
| Indiana | Other | 390004295 |
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