Shumate, Jill E.
Shumate, Jill E. is an individual health care provider with primary practice located at 403 Third Ave. , Beckley WV 25801. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shumate, Jill E. can be contacted via phone (681) 207-7065.Contact Information
Primary practice address
403 Third Ave.
Beckley WV 25801
Phone: (681) 207-7065
Fax: (681) 207-7087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3678 | West Virginia |
Profile Details
| NPI number | 1639236029 |
|---|---|
| LBN Legal business name | Shumate, Jill E. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | May 6th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639236029 | NPPES |
| West Virginia | MEDICAID | 3810003102 |
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