Shenouda, Jack
Shenouda, Jack is an individual health care provider with primary practice located at 1600 N Rose Ave , Oxnard CA 93030-3722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shenouda, Jack can be contacted via phone (717) 577-3938.Contact Information
Primary practice address
1600 N Rose Ave
Oxnard CA 93030-3722
Phone: (717) 577-3938
Fax: (785) 354-6349
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A140119 | California |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A140119 | California |
Profile Details
NPI number | 1023247822 |
---|---|
LBN Legal business name | Shenouda, Jack |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2009 |
Last updated | Nov 29th, 2021 - about 4 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 | 1023247822 | NPPES |
Kansas | Other | 068002171 | MEDICARE PTAN |
Kansas | MEDICAID | 200962510A | MEDICARE PTAN |
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