Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 01034317A | IN |
NPI | 1033188719 |
---|---|
Provider Name | Dr. Stephen M Schultz |
First Address | Indianapolis, IN 46260-2082 |
Second Address | Indianapolis, IN 46260-2082 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 29/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100086960 | (05) | IN |
C25663 | (02) | IN |