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Contact Information

BRENDA D SHUTZ
330B HIGHWAY 90
GAUTIER, MS39553-5744
 Phone: 228-497-0690
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

163WR0400X
Indicates primary specialty

NPI Profile & details for BRENDA D SHUTZ · (Female)

NPI Number 1942828942
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2020
Last updated 07/07/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 510505
  • MS Medicaid 00018214
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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