Individual
BENJAMIN JASON SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2686 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2302
(412) 372-3772
(412) 372-3688
Mailing address
2686 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2302
(412) 372-3772
(412) 372-3688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009299
PA
208100000X
Physical Medicine & Rehabilitation Physician
AJ009184
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001676326
BLUE SHIELD
PA
01
—
410985
UPMC
PA
Enumeration date
09/21/2006
Last updated
12/15/2015
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