Shultz, Theresa
Shultz, Theresa is an individual health care provider with primary practice located at 4822 Fayetteville Rd , Lumberton NC 28358-2112. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shultz, Theresa can be contacted via phone (910) 738-3939.Contact Information
Primary practice address
4822 Fayetteville Rd
Lumberton NC 28358-2112
Phone: (910) 738-3939
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C007719 | North Carolina |
Profile Details
| NPI number | 1265790869 |
|---|---|
| LBN Legal business name | Shultz, Theresa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2012 |
| Last updated | Aug 3rd, 2012 - about 14 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 | 1265790869 | NPPES |
| North Carolina | MEDICAID | 6009082 |
Popular Providers
-
Shepard, Laura Pillette
2003 Godwin Ave Suite A, Lumberton NC 28358-3149 -
Eason, Elizabeth Ashley
1600 E 5Th St , Lumberton NC 28358-6104 -
James, Belinda Oxendine
402 N Pine St , Lumberton NC 28358-5563 -
Brown, Kanesha Rashal
220 Liberty Hill Rd , Lumberton NC 28358-2442 -
Davis, Shnika
1603 Godwin Ave Suite B, Lumberton NC 28358-4207 -
Kaufmann, Laurie
4701 Fayetteville Rd , Lumberton NC 28358-2697 -
Chavis, Brittany Renea
888 Wire Grass Road , Lumberton NC 28358 -
Main, Christine Susan
2003 Godwin Ave Suite A, Lumberton NC 28358-3149