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Individual
DR. STEPHEN N SHOEMAKER
Active
Individual
DR. STEPHEN N SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS004601-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010714460004
—
PA
01
—
001874
1ST PRIORITY PROVIDER #
PA
01
—
010063200
BLACK LUNG PROVIDE #
PA
01
—
110160680
RAILROAD MEDICARE #
PA
01
—
126801
BLUE SHIELD PROVIDER #
PA
Enumeration date
06/30/2005
Last updated
12/10/2009
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