Shumway, Preston Wayne
Shumway, Preston Wayne is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Shumway, Preston Wayne can be contacted via phone (903) 531-5000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5101018171 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 5101018171 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | P1407 | Texas |
Profile Details
| NPI number | 1134355233 |
|---|---|
| LBN Legal business name | Shumway, Preston Wayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2009 |
| Last updated | Oct 14th, 2014 - about 11 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 | 1134355233 | NPPES |
| Texas | Other | 750818167015 | TRICARE |
| Texas | MEDICAID | 304874601 | TRICARE |
| Texas | Other | 75-2616977-028 | TRICARE |
| Texas | Other | 750818167048 | TRICARE |
| Texas | Other | 8DU721 | TRICARE |
| Texas | Other | 8X8166 | TRICARE |
| Texas | Other | P01081613 | TRICARE |
| Texas | MEDICAID | 304874603 | TRICARE |
| Texas | Other | 750818167022 | TRICARE |
| Texas | Other | 751976930022 | TRICARE |
| Texas | Other | P01081147 | TRICARE |
| Texas | Other | 750818167044 | TRICARE |
| Texas | Other | 75-2616977-001 | TRICARE |
| Texas | Other | 75-2616977-002 | TRICARE |
| Texas | Other | P01304487 | TRICARE |
| Texas | MEDICAID | 304874602 | TRICARE |
| Texas | MEDICAID | 304874604 | TRICARE |
| Texas | Other | 751976930005 | TRICARE |
| Texas | Other | 8DD750 | TRICARE |
| Texas | Other | 8DD753 | TRICARE |
Popular Providers
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Le, Minh Q
11937 Us Highway 271 , Tyler TX 75708-3154 -
Baber, Daniel
1000 S Beckham Ave , Tyler TX 75701-1908 -
Smith, Evans Swann
833 S Beckham Ave , Tyler TX 75701-1905 -
Haro, Luis H
800 E Dawson St , Tyler TX 75701-2036 -
Keeling, Lee Ann Watkins
1000 S Beckham Ave , Tyler TX 75701-1908 -
Pistone, Joseph
5414 S Broadway Ave , Tyler TX 75703-1335 -
Osorio-Giraldo, Alonso Javier
800 E Dawson St , Tyler TX 75701-2036 -
Stroupe, Earnest W
800 E Dawson St , Tyler TX 75701-2036