Individual
JOHN P SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 2613, WEIRTON, WV 26062-1813
(304) 723-3967
(304) 723-4007
Mailing address
PO BOX 2613, WEIRTON, WV 26062-1813
(304) 723-3967
(304) 723-4007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
17401
WV
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
17401
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053950001
—
WV
05
—
0971140
—
OH
Enumeration date
10/04/2005
Last updated
10/17/2024
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