Shultz, Philip M.

Shultz, Philip M. is an individual health care provider with primary practice located at 707 S Mills St , Madison WI 53715-1849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shultz, Philip M. can be contacted via phone (608) 258-6100.

Contact Information

Primary practice address
707 S Mills St Madison WI 53715-1849
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19313 Wisconsin

Profile Details

NPI number 1811979313
LBN Legal business name Shultz, Philip M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Sep 23rd, 2008 - about 18 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 1811979313 NPPES
Wisconsin MEDICAID 31016900

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