Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 106680 | MO |
NPI | 1114954708 |
---|---|
Provider Name | Dr. Michelle Z Schultz |
First Address | Saint Louis, MO 63141-8274 |
Second Address | Saint Louis, MO 63141-8274 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 27/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205056609 | (05) | MO |
43-1823174 | TAX IDENTIFICATION NUMBER (01) | MO |
H23643 | (02) | MO |