Shutack, John Michael

Shutack, John Michael is an individual health care provider with primary practice located at 300 Medical Pkwy Ste 206 , Chesapeake VA 23320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Shutack, John Michael can be contacted via phone (757) 690-8990.

Contact Information

Primary practice address
300 Medical Pkwy Ste 206 Chesapeake VA 23320
Phone: (757) 690-8990
Fax: (757) 198-6944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0101102740 Virginia

Profile Details

NPI number 1104927458
LBN Legal business name Shutack, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jun 20th, 2024 - about 2 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 1104927458 NPPES
Virginia Other 0101102740 MEDICAL LICENSE

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