Individual
SHAUN PATRICK JESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2241 ROMBACH AVE, WILMINGTON, OH 45177-1995
(937) 283-2588
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
34.008226
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
M3275
TX
207V00000X
Obstetrics & Gynecology Physician
OS012463
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101452964
—
MA
05
—
1014529640001
—
PA
01
—
1758602
BLUE SHIELD
PA
01
—
1758602
PREMIER BLUE
—
01
—
191443
UNITED HEALTHCARE PHILIPS
—
01
—
216985
UNITED HEALTHCARE FLEMMIN
—
01
—
217155
UNITED HEALTHCARE DEPHI
—
01
—
251860035
DEVON
—
01
—
709656
UPMC
—
01
—
93462
GEISINGER HEALTH
—
01
—
P00287679
RAILROAD MEDICARE
—
Enumeration date
05/08/2006
Last updated
03/07/2023
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