Hughes, Shawn Gerard

Hughes, Shawn Gerard is an individual health care provider with primary practice located at 999 Mar Walt Dr , Fort Walton Beach FL 32547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Hughes, Shawn Gerard can be contacted via phone (850) 863-8182.

Contact Information

Primary practice address
999 Mar Walt Dr Fort Walton Beach FL 32547
Phone: (850) 863-8182
Fax: (850) 863-9614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X OS14379 Florida

Profile Details

NPI number 1033473772
LBN Legal business name Hughes, Shawn Gerard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jun 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033473772 NPPES
Florida Other JA197Z MEDICARE PTAN
Florida MEDICAID 020490500 MEDICARE PTAN
Florida Other DR29W MEDICARE PTAN

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