Stultz, Marikay

Stultz, Marikay is an individual health care provider with primary practice located at 701 N. Englewood Dr. , Crawfordsville IN 47933-9744. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stultz, Marikay can be contacted via phone (765) 361-9767.

Contact Information

Primary practice address
701 N. Englewood Dr. Crawfordsville IN 47933-9744
Phone: (765) 361-9767
Fax: (765) 361-0374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000086A Indiana

Profile Details

NPI number 1871546002
LBN Legal business name Stultz, Marikay
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 7th, 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 1871546002 NPPES
Indiana Other 000000194497 ANTHEM BCBS PROVIDER PIN

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