John Michael Shutack in Chesapeake - Neurological Surgery
John Michael Shutack - NPI 1104927458
John Michael Shutack is a Neurological Surgery in Chesapeake, Virginia. John Michael Shutack practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for John Michael Shutack is 1104927458. The last update date is 2019-05-07.
John Michael Shutack's current location address is 667 Kingsborough Sq Ste 101, Chesapeake, Virginia. You can contact this provider via phone number 7576908990 and fax number 7572779939. The mailing address for John Michael Shutack is 667 Kingsborough Sq Ste 101, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Michael Shutack |
|---|---|
| Address | 667 Kingsborough Sq Ste 101, Chesapeake, Virginia |
| Phone Number | 7576908990 |
| Fax Number | 7572779939 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104927458 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2019-05-07 |
Provider Mailing Address Detail
| Address | 667 Kingsborough Sq Ste 101 |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233204999 |
| Phone Number | 7576908990 |
| Fax Number | 7572779939 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | 101102740 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101102740 | VA | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Michael Shutack by the Centers for Medicare & Medicaid Services?
The John Michael Shutack has been assigned the NPI (National Provider Identifier) 1104927458 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where John Michael Shutack is geographically located?
The John Michael Shutack is physically situated at the following location: 667 Kingsborough Sq Ste 101, Chesapeake, VA, 233204999.
What is John Michael Shutack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Michael Shutack is Neurological Surgery, and the taxonomy code that classifies this field of practice is 207T00000X.
When did John Michael Shutack receive its 1104927458 assignment?
The John Michael Shutack was assigned its 1104927458 on 2006-09-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding John Michael Shutack most recently updated?
The details pertaining to the John Michael Shutack, including its address, specialty, and other relevant information, were last refreshed on 2019-05-07.