Shuck, Edwin Haywood
Shuck, Edwin Haywood is an individual health care provider with primary practice located at 2341 Mccallie Ave Plaza 3 Suite 305, Chattanooga TN 37404-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Shuck, Edwin Haywood can be contacted via phone (423) 622-2721.Contact Information
Primary practice address
2341 Mccallie Ave Plaza 3 Suite 305
Chattanooga TN 37404-3239
Phone: (423) 622-2721
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 11816 | Tennessee |
Profile Details
NPI number | 1912957739 |
---|---|
LBN Legal business name | Shuck, Edwin Haywood |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Feb 3rd, 2010 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912957739 | NPPES |
Tennessee | Other | 020051840 | RAILROAD MEDICARE |
Tennessee | Other | 0053980 | RAILROAD MEDICARE |
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