Shutta, John A
Shutta, John A is an individual health care provider with primary practice located at 15 E Frederick St , Walkersville MD 21793-8234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shutta, John A can be contacted via phone (301) 898-5200.Contact Information
Primary practice address
15 E Frederick St
Walkersville MD 21793-8234
Phone: (301) 898-5200
Fax: (301) 898-5230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0030020 | Maryland |
Profile Details
| NPI number | 1679578983 |
|---|---|
| LBN Legal business name | Shutta, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | May 20th, 2020 - about 4 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 | 1679578983 | NPPES |
| Maryland | MEDICAID | 378781800 |
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