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Contact Information

GINA SHULTS, PA-C
2165 WHITE BEAR AVE N
MAPLEWOOD, MN55109
 Phone: 651-523-9800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GINA SHULTS · (Female)

NPI Number 1447628086
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/14/2015
Last updated 09/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 12006
Hospital affiliation(s)
  • REGIONS HOSPITAL - (Acute Care)
    640 JACKSON STREET
    SAINT PAUL, MN 55101
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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