Shum, John

Shum, John is an individual health care provider with primary practice located at 1107 E Marshall Ave , Longview TX 75601-5602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Shum, John can be contacted via phone (903) 758-2610.

Contact Information

Primary practice address
1107 E Marshall Ave Longview TX 75601-5602
Phone: (903) 758-2610
Fax: (903) 758-7081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L4123 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L4123 Texas

Profile Details

NPI number 1861616047
LBN Legal business name Shum, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Apr 26th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861616047 NPPES
Texas MEDICAID 153825806
Texas MEDICAID 153825807
Texas Other 8M8693

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