Shatz, Richard Nelson
Shatz, Richard Nelson is an sole proprietor health care provider with primary practice located at 1135 Broadway St , Quincy IL 62301-2809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Shatz, Richard Nelson can be contacted via phone (217) 228-1312.Contact Information
Primary practice address
1135 Broadway St
Quincy IL 62301-2809
Phone: (217) 228-1312
Fax: (217) 228-1316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036107867 | Illinois |
Profile Details
| NPI number | 1952380818 |
|---|---|
| LBN Legal business name | Shatz, Richard Nelson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jun 20th, 2011 - about 15 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 | 1952380818 | NPPES |
| Illinois | MEDICAID | 036107867 |
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