Shumway, Sam Faulkner

Shumway, Sam Faulkner is an individual health care provider with primary practice located at 7734 N 59Th Ave , Glendale AZ 85301-7816. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shumway, Sam Faulkner can be contacted via phone (602) 569-3999.

Contact Information

Primary practice address
7734 N 59Th Ave Glendale AZ 85301-7816
Phone: (602) 569-3999
Fax: (602) 569-3887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5284 Arizona

Profile Details

NPI number 1134468267
LBN Legal business name Shumway, Sam Faulkner
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2013
Last updated Aug 23rd, 2019 - about 7 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 1134468267 NPPES
Arizona MEDICAID 863734

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