Dr. Stanton G Schultz
Nephrologist
416 North 12th Street Southern Illinois Consultants For Kidney Disease, S.c.
MtVernon
, Illinois 62864-4314
Dr. Stanton G Schultz
Nephrologist
416 North 12th Street Southern Illinois Consultants For Kidney Disease, S.c.
MtVernon
, Illinois 62864-4314
(618) 244-7985
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Stanton G Schultz
- P.o. Box 1704 416 North 12th Street
- Mt. Vernon, IL
- Zip : 62864-0034
- Fax : (618) 244-7985
- Phone : (618) 244-4850
Second Address
- Dr. Stanton G Schultz
- 416 North 12th Street Southern Illinois Consultants For Kidney Disease, S.c.
- Mt. Vernon, IL
- Zip : 62864-4314
- Fax : (618) 244-7985
- Phone : (618) 244-4850
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 1027161 | IN |
National Provider Identifier
| NPI | 1073513313 |
|---|---|
| Provider Name | Dr. Stanton G Schultz |
| First Address | Mt. Vernon, IL 62864-0034 |
| Second Address | Mt. Vernon, IL 62864-4314 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2005 |
| Last Update Date | 22/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100246480 | (05) | IN |
| 390004295 | RAILROAD MEDICARE (01) | IN |
| D08056 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.