Shultz, Eric W

Shultz, Eric W is an individual health care provider with primary practice located at 1205 Beach Blvd , Jacksonville Beach FL 32250-3405. He recently has 7 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Shultz, Eric W can be contacted via phone (904) 389-0346.

Contact Information

Primary practice address
1205 Beach Blvd Jacksonville Beach FL 32250-3405
Phone: (904) 389-0346
Fax: (904) 246-5449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Public Medicine 213EP0504X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1898 Florida
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO1898 Florida

Profile Details

NPI number 1366628075
LBN Legal business name Shultz, Eric W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2008
Last updated Apr 3rd, 2017 - about 9 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 1366628075 NPPES
Florida MEDICAID 390193900
Florida Other 480020923
Florida Other 65159

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