Shuck, Edwin Haywood

Shuck, Edwin Haywood is an individual health care provider with primary practice located at 2341 Mccallie Ave Plaza 3 Suite 305, Chattanooga TN 37404-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Shuck, Edwin Haywood can be contacted via phone (423) 622-2721.

Contact Information

Primary practice address
2341 Mccallie Ave Plaza 3 Suite 305 Chattanooga TN 37404-3239
Phone: (423) 622-2721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 11816 Tennessee

Profile Details

NPI number 1912957739
LBN Legal business name Shuck, Edwin Haywood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Feb 3rd, 2010 - about 16 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 1912957739 NPPES
Tennessee Other 020051840 RAILROAD MEDICARE
Tennessee Other 0053980 RAILROAD MEDICARE

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