Shim, William Jungho

Shim, William Jungho is an sole proprietor health care provider with primary practice located at 2727 W Dr Martin Luther King Jr Blvd Ste 530 , Tampa FL 33607-6000. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Other Service Providers / Specialist is his primary health care specialty. Shim, William Jungho can be contacted via phone (240) 631-1036.

Contact Information

Primary practice address
2727 W Dr Martin Luther King Jr Blvd Ste 530 Tampa FL 33607-6000
Phone: (240) 631-1036
Fax: (561) 658-6142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0053771 Maryland
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME139857 Florida

Profile Details

NPI number 1306932959
LBN Legal business name Shim, William Jungho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Nov 22nd, 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 1306932959 NPPES
Maryland MEDICAID 000374300 MD

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