Shutter, Jamie David
Shutter, Jamie David is an individual health care provider with primary practice located at 6250 N Durango Dr , Las Vegas NV 89149-3916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Shutter, Jamie David can be contacted via phone (702) 342-9990.Contact Information
Primary practice address
6250 N Durango Dr
Las Vegas NV 89149-3916
Phone: (702) 342-9990
Fax: (702) 485-2372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | D0091999 | Maryland |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2011-00052 | North Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD036095 | District of Columbia |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | R9435 | Texas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME 98596 | Florida |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 25728 | Nevada |
Profile Details
| NPI number | 1902852239 |
|---|---|
| LBN Legal business name | Shutter, Jamie David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Dec 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902852239 | NPPES |
| North Carolina | Other | 162VJ | BCBSNC |
| North Carolina | MEDICAID | 5916767 | BCBSNC |
| North Carolina | MEDICAID | 278431900 | BCBSNC |
| North Carolina | Other | 01299 | BCBSNC |
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