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Contact Information

JEFFREY E SHOOK DPM PLLC
2915 3RD AVE
HUNTINGTON, WV25702-1401
 Phone: 304-755-8088
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JEFFREY E SHOOK DPM PLLC

NPI # 1750400768
LBN Legal business name JEFFREY E SHOOK DPM PLLC
Authorized official JEFFREY SHOOK - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2007
Last updated 10/25/2007 - About 19 years ago
Identifiers
WV License # 00315
OH Medicaid 0227678
WV Medicaid 6420018000
Other DF7723 RAILROAD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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