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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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 1639236029 NPPES
West Virginia MEDICAID 3810003102

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