Provider Demographics
NPI:1568647824
Name:SCHULTZ, ARTHUR F (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:F
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 CLIFTY ST
Mailing Address - Street 2:STE 102
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-1765
Mailing Address - Country:US
Mailing Address - Phone:606-677-6664
Mailing Address - Fax:606-677-6560
Practice Address - Street 1:607 CLIFTY ST
Practice Address - Street 2:STE 102
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-1765
Practice Address - Country:US
Practice Address - Phone:606-677-6664
Practice Address - Fax:606-677-6560
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14199174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64141997Medicaid
KY0220201Medicare PIN
KYC69430Medicare UPIN