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NPI Code Detail

MEDICARE: DEB SCHULTEJANS

MEDICARE: DEB SCHULTEJANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor05017IA

General Provider Information

NPI Number : 1871080069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEB SCHULTEJANS
Provider Business Mailing Address
First Line : 3601 16TH AVE SW
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52404-2328
Country : US
Telephone Number : 319-390-4611
Fax Number :
Provider Business Practice Location Address
First Line : 3601 16TH AVE SW
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52404-2328
Country : US
Telephone Number : 319-390-4611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2018
Last Update Date : 04/13/2018

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Directions to “ DEB SCHULTEJANS ” Practice Location

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