Shillingford, Jamal

Shillingford, Jamal is an individual health care provider with primary practice located at 2 Bon Air Rd Ste 120 , Larkspur CA 94939-1142. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Shillingford, Jamal can be contacted via phone (415) 927-5300.

Contact Information

Primary practice address
2 Bon Air Rd Ste 120 Larkspur CA 94939-1142
Phone: (415) 927-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 51177 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1063855567
LBN Legal business name Shillingford, Jamal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2013
Last updated Aug 20th, 2019 - about 7 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 1063855567 NPPES
Indiana MEDICAID 300013826

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