Pamela Jo Shultz
Internist - Addiction Medicine
1700 University Ave W Fl 6
Saint Paul
, Minnesota 55104-3727
Pamela Jo Shultz
Internist - Addiction Medicine
1700 University Ave W Fl 6
Saint Paul
, Minnesota 55104-3727
(612) 240-0873
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Pamela Jo Shultz
- 8603 Cherrywood Trl N
- Lake Elmo, MN
- Zip : 55042
- Phone : (612) 240-0873
Second Address
- Pamela Jo Shultz
- 1700 University Ave W Fl 6
- Saint Paul, MN
- Zip : 55104-3727
- Fax : (651) 232-4953
- Phone : (651) 232-2273
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 31954 | MN |
National Provider Identifier
| NPI | 1043373426 |
|---|---|
| Provider Name | Pamela Jo Shultz |
| First Address | Lake Elmo, MN 55042 |
| Second Address | Saint Paul, MN 55104-3727 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/12/2006 |
| Last Update Date | 17/03/2018 |
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.