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Individual
THOMAS LAURIE SHULTZ
Active
Individual
THOMAS LAURIE SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD019588E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009140600005
—
PA
01
—
0022069000
KEYSTONE IBC
PA
01
—
141643
HIGHMARK BLUE SHIELD
PA
01
—
30214727
KEYSTONE FIRST
PA
01
—
4920329
CIGNA PA
PA
01
—
5140141
AETNA
PA
01
—
P011850
GATEWAY
PA
01
—
P01193471
RAILROAD MEDICARE
PA
Enumeration date
05/12/2006
Last updated
08/14/2018
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