Mr Jack Gordon Schultz Jr, MSP is a
Speech-language Pathologist based in Cayce, South Carolina. Mr Jack Gordon Schultz Jr is licensed to practice in South Carolina (license number 4182) and his current practice location is
1006 Indigo Ave, Cayce, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 586-5280.
NPI number for Mr Jack Gordon Schultz Jr is 1265604185 and his current mailing address is 1006 Indigo Ave, Cayce, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265604185.
Healthcare Provider's Profile
Full Name | Mr Jack Gordon Schultz Jr |
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Gender | Male |
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Speciality | Speech-language Pathologist |
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Location | 1006 Indigo Ave, Cayce, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265604185
- Provider Enumeration Date: 03/31/2008
- Last Update Date: 03/31/2008
Medical Identifiers
Medical identifiers for Mr Jack Gordon Schultz Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265604185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4182 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jack Gordon Schultz Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jack Gordon Schultz Jr, MSP 1006 Indigo Ave, Cayce, SC 29033-3210 Ph: (803) 586-5280 | Mr Jack Gordon Schultz Jr, MSP 1006 Indigo Ave, Cayce, SC 29033-3210 Ph: (803) 586-5280 |
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