Shim, Jooman
Shim, Jooman is an individual health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807-5210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Shim, Jooman can be contacted via phone (417) 875-3000.Contact Information
Primary practice address
3801 S National Ave
Springfield MO 65807-5210
Phone: (417) 875-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 25 | New Jersey |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 2023001660 | Missouri |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 25MA10115400 | New Jersey |
Profile Details
NPI number | 1649513052 |
---|---|
LBN Legal business name | Shim, Jooman |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2013 |
Last updated | Mar 29th, 2023 - about last year |
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 | 1649513052 | NPPES |
Missouri | MEDICAID | 200018097 |
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