Individual
MR. WILLIAM JOEL SHUMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(757) 535-7776
Mailing address
205 W ADELAIDE DR, ST JOHNS, FL 32259-6929
(757) 535-7776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9423344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9423344
RN LICENSE
FL
Enumeration date
06/16/2020
Last updated
06/16/2020
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