Sharum, John A.
Sharum, John A. is an individual health care provider with primary practice located at 4201 W Medical Center Dr Emergency Department, Mchenry IL 60050-8409. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Sharum, John A. can be contacted via phone (815) 759-4546.Contact Information
Primary practice address
4201 W Medical Center Dr Emergency Department
Mchenry IL 60050-8409
Phone: (815) 759-4546
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085001331 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085001331 | Illinois |
Profile Details
NPI number | 1710973458 |
---|---|
LBN Legal business name | Sharum, John A. |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2005 |
Last updated | Mar 14th, 2016 - about 9 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 | 1710973458 | NPPES |
Illinois | Other | 9700013180 | RAILROAD MEDICARE |
Illinois | MEDICAID | 085001331 | RAILROAD MEDICARE |
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