Shultz, Edwin Barclay
Shultz, Edwin Barclay is an individual health care provider with primary practice located at 112 Helen St , Sauk City WI 53583-1101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shultz, Edwin Barclay can be contacted via phone (608) 643-3351.Contact Information
Primary practice address
112 Helen St
Sauk City WI 53583-1101
Phone: (608) 643-3351
Fax: (608) 643-3621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27416 | Wisconsin |
Profile Details
| NPI number | 1316045099 |
|---|---|
| LBN Legal business name | Shultz, Edwin Barclay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1316045099 | NPPES |
| Wisconsin | MEDICAID | 30699000 |
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