Shoptaw Jr., James H

Shoptaw Jr., James H is an individual health care provider with primary practice located at 243 Roy Campbell Dr Suite A, Hazard KY 41701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Shoptaw Jr., James H can be contacted via phone (606) 439-0447.

Contact Information

Primary practice address
243 Roy Campbell Dr Suite A Hazard KY 41701
Fax: (606) 436-0408
Website:

Profile Details

NPI number 1710951942
LBN Legal business name Shoptaw Jr., James H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 7th, 2018 - about 7 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 1710951942 NPPES
Kentucky Other 61-1427889 TRICARE
Kentucky Other 61-1427889 TRICARE
Kentucky Other 61-1427889 TRICARE
Kentucky Other C91818 TRICARE
Kentucky Other 61-1427889 TRICARE
Kentucky Other 000000377924 TRICARE
Kentucky Other 50005330 TRICARE
Kentucky MEDICAID 64054315 TRICARE
Kentucky Other P00276210 TRICARE
Kentucky Other 030670000 TRICARE
Kentucky Other 61-1427889 TRICARE

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