Organization Name: | DR. HOWARD L. SCHULTHEISS, JR, DPM, P.A |
NPI Number: | 1033250055 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKIE LYNN SCHULTHEISS (OFFICE MANAGER) |
Mailing Address: | 437 S Main St Bel Air |
State: | MD US |
Postal Code: | 210143919 |
Phone Number: | 4108360131 |
Fax Number: | 4108368594 |
NPI Enumeration Date: | 02/11/2007 |
NPI Last Update Date: | 06/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP1100X |
License Number: | A1308 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Podiatric |
Taxonomy Definition: |