Jacob Eugene Shultz, LAT, ATC
Specialist/Technologist, Athletic Trainer in Hermitage, PA. Individual provider (NPI-1).
NPI number1922469352
StatusActive
Last updated in NPPESMar 12, 2016
Details
- NPI
- 1922469352
- Entity type
- Individual (NPI-1)
- Name
- Jacob Eugene Shultz
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2016
- Last updated
- Mar 12, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | RT006133 | PA | Yes |
Practice location
1759 N Water AveHermitage, PA 16148-1381
Phone 724-977-1853
Mailing address
1759 N Water AveHermitage, PA 16148-1381
Phone 724-977-1853
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Hermitage, PA
- Debra BornesNPI 1073921391
- James B McNeil, ATCNPI 1396731071
- Susan Dawn Mehallick, ATC/LNPI 1386974673
- Ashley Sham, MS, LAT, ATCNPI 1417365255
- Carrie Lou Sheehan, ATCNPI 1659787349
- Tammy Rae Thomas, MED, ATCNPI 1447318738
- Collier Valencic, ATCNPI 1568893402
All 8 Athletic Trainer providers in Hermitage · All 757 providers in Hermitage
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