Shook, Josh

Shook, Josh is an individual health care provider with primary practice located at 2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shook, Josh can be contacted via phone (423) 857-2260.

Contact Information

Primary practice address
2033 Meadowview Ln Ste 200 Kingsport TN 37660-7569
Fax: (423) 857-2261
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 35363 Tennessee

Profile Details

NPI number 1396748190
LBN Legal business name Shook, Josh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Sep 23rd, 2009 - about 15 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 1396748190 NPPES
Tennessee MEDICAID 3888326
Tennessee MEDICAID PENDING
Tennessee MEDICAID 010086281

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