Shamblin, Jack F
Shamblin, Jack F is an individual health care provider with primary practice located at 94 Old Mill Rd , Martinsburg WV 25401-9284. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Shamblin, Jack F can be contacted via phone (304) 264-8933.Contact Information
Primary practice address
94 Old Mill Rd
Martinsburg WV 25401-9284
Phone: (304) 264-8933
Fax: (304) 264-8846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 17829 | West Virginia |
Profile Details
| NPI number | 1831159615 |
|---|---|
| LBN Legal business name | Shamblin, Jack F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | May 24th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831159615 | NPPES |
| West Virginia | MEDICAID | 0060852000 | |
| West Virginia | Other | 050065778 |
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