Provider Demographics
NPI:1043359599
Name:SHULMAN, CLIFFORD NEIL (PT)
Entity type:Individual
Prefix:MR
First Name:CLIFFORD
Middle Name:NEIL
Last Name:SHULMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9452
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28815-0452
Mailing Address - Country:US
Mailing Address - Phone:828-505-1742
Mailing Address - Fax:828-505-2084
Practice Address - Street 1:997 OLD HIGHWAY 70 W
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-2665
Practice Address - Country:US
Practice Address - Phone:828-669-6896
Practice Address - Fax:828-669-6896
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018643225100000X
NC11251225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ39961Medicare ID - Type Unspecified