Shimp, William M

Shimp, William M is an individual health care provider with primary practice located at 300 Health Park Blvd Ste 5008 , St Augustine FL 32086-3705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Shimp, William M can be contacted via phone (904) 494-2394.

Contact Information

Primary practice address
300 Health Park Blvd Ste 5008 St Augustine FL 32086-3705
Phone: (904) 494-2394
Fax: (904) 400-6676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101052 Florida

Profile Details

NPI number 1821092511
LBN Legal business name Shimp, William M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 22nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821092511 NPPES
Other 970014848 MEDICARE RAILROAD
MEDICAID 290815800 MEDICARE RAILROAD

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