Stefanie Alida Schultis in Covington - Specialist
Stefanie Alida Schultis - NPI 1528065521
Stefanie Alida Schultis is a Specialist in Covington, Louisiana. Stefanie Alida Schultis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stefanie Alida Schultis is 1528065521. The last update date is 2019-04-23.
Stefanie Alida Schultis's current location address is 110 Lakeview Dr, Covington, Louisiana. You can contact this provider via phone number 9858981940 and fax number 9858933427. The mailing address for Stefanie Alida Schultis is 110 Lakeview Dr, Covington, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefanie Alida Schultis |
|---|---|
| Address | 110 Lakeview Dr, Covington, Louisiana |
| Phone Number | 9858981940 |
| Fax Number | 9858933427 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528065521 |
|---|---|
| Provider Enumeration Date | 2005-07-05 |
| Last Updated Date | 2019-04-23 |
Provider Mailing Address Detail
| Address | 110 Lakeview Dr |
|---|---|
| City | Covington |
| State | Louisiana (LA) |
| Post Code | 704337509 |
| Phone Number | 9858981940 |
| Fax Number | 9858933427 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 18419 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1389579 | LA | -- | |
| 721166765 | LA | TAX ID |
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What is the unique provider identifier assigned to Stefanie Alida Schultis?
The Stefanie Alida Schultis has been issued the NPI (National Provider Identifier) 1528065521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Stefanie Alida Schultis?
The Stefanie Alida Schultis is situated at 110 Lakeview Dr, in the city of Covington, state of LA, with the zip code 704337509.
What is the Stefanie Alida Schultis's specialty and taxonomy code?
The Stefanie Alida Schultis's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the Stefanie Alida Schultis's 1528065521 issued?
The Stefanie Alida Schultis's 1528065521 was issued on 2005-07-05.
As of what date was the information regarding Stefanie Alida Schultis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stefanie Alida Schultis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-04-23.