Shultz, Michelle Dianne

Shultz, Michelle Dianne is an individual health care provider with primary practice located at 925 Ne 8Th Street , Oklahoma City OK 73104. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shultz, Michelle Dianne can be contacted via phone (405) 236-3043.

Contact Information

Primary practice address
925 Ne 8Th Street Oklahoma City OK 73104
Phone: (405) 236-3043
Fax: (405) 239-2390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 927 Oklahoma

Profile Details

NPI number 1558320804
LBN Legal business name Shultz, Michelle Dianne
Credentials R.D., L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Sep 25th, 2019 - about 7 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 1558320804 NPPES
Oklahoma Other LD927 OKLAHOMA STATE BOARD OF MEDICAL LICENSR

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