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Individual

SHAWN W. STORM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
415 MORRIS STREET, SUITE 201, CHARLESTON, WV 25301
(304) 388-1700
(304) 388-7755
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2507
(814) 868-2522

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2351
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010046003
AMERICHOICE
NJ
05
0151505
NJ
01
1737775
AETNA
NJ
01
2810734
UNITED HEALTHCARE
NJ
01
3431684000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
3K7723
HEALTHNET
NJ
01
5557737
CIGNA
NJ
01
60033605
HORIZON NJ HEALTH
NJ
01
P3855869
OXFORD
NJ
Enumeration date
08/06/2007
Last updated
07/30/2019
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