Shumate, Jack B

Shumate, Jack B is an individual health care provider with primary practice located at 100 Doctors Dr Ste B, Panama City FL 32405-7609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Shumate, Jack B can be contacted via phone (850) 872-1300.

Contact Information

Primary practice address
100 Doctors Dr Ste B Panama City FL 32405-7609
Phone: (850) 872-1300
Fax: (850) 872-9420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME21390 Florida

Profile Details

NPI number 1558366955
LBN Legal business name Shumate, Jack B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jul 8th, 2007 - about 18 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 1558366955 NPPES
Florida Other 68004 BLUE CROSS BLUE SHIELD

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