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Contact Information

MARY L SHULTS, PA-C
1 CHILDRENS WAY # 653
LITTLE ROCK, AR72202-3500
 Phone: 501-364-1100
 Fax: 501-364-4082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARY L SHULTS · (Female)

NPI # 1730687450
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/28/2018
Last updated 04/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AR License # PT2020-030
  • OK License # 2866
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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