Shamah, Corey Justin

Shamah, Corey Justin is an individual health care provider with primary practice located at 3003 W Good Hope Rd , Milwaukee WI 53209-2042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Shamah, Corey Justin can be contacted via phone (414) 352-3100.

Contact Information

Primary practice address
3003 W Good Hope Rd Milwaukee WI 53209-2042
Phone: (414) 352-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 45708020 Wisconsin

Profile Details

NPI number 1104910249
LBN Legal business name Shamah, Corey Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 31st, 2023 - about 2 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 1104910249 NPPES
Wisconsin MEDICAID 34771800
Wisconsin Other P00474684

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