Shumway, Maynard A.

Shumway, Maynard A. is an individual health care provider with primary practice located at 110 Lomond Ct , Utica NY 13502-5950. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Shumway, Maynard A. can be contacted via phone (315) 292-1264.

Contact Information

Primary practice address
110 Lomond Ct Utica NY 13502-5950
Phone: (315) 292-1264
Fax: (315) 266-0385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001412 New York

Profile Details

NPI number 1205860798
LBN Legal business name Shumway, Maynard A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 23rd, 2014 - about 12 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 1205860798 NPPES
New York MEDICAID 03324334

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