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
Fax: (785) 354-6349
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023247822 NPPES
Kansas Other 068002171 MEDICARE PTAN
Kansas MEDICAID 200962510A MEDICARE PTAN

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