Individual
ERIC J SCHULTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4720 S. I-10 SERVICE RD. W, SUITE 206, METAIRIE, LA 70001-1240
(504) 455-7999
(504) 455-7920
Mailing address
4224 HOUMA BLVD STE 140, METAIRIE, LA 70006-2934
(504) 455-7999
(504) 455-7920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD104207
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1337323
—
LA
01
—
160009039
RR MEDICAF
LA
01
—
423022231A
BC/BS OF LA
LA
01
—
690471
AETNA
LA
Enumeration date
07/18/2006
Last updated
01/22/2019
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