Gordon Julian Shumate JR.
Sports Medicine Primary Podiatric Medicine
405 South St Ste F
Redding
, California 96001-2101
Gordon Julian Shumate JR.
Sports Medicine Primary Podiatric Medicine
405 South St Ste F
Redding
, California 96001-2101
(530) 246-4802
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About
Features
Specialties
- Primary Podiatric Medicine
- Sports Medicine
Languages spoken
- English
Location
First Address
- Gordon Julian Shumate JR.
- 405 South St Ste F
- Redding, CA
- Zip : 96001-2101
- Fax : (530) 246-4802
- Phone : (530) 246-4800
Second Address
- Gordon Julian Shumate JR.
- 405 South St Ste F
- Redding, CA
- Zip : 96001-2101
- Fax : (530) 246-4802
- Phone : (530) 246-4800
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What type of doctor is Gordon Julian Shumate JR.
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Is Gordon Julian Shumate JR. a sole practitioner?
Is Gordon Julian Shumate JR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | E3936 | CA |
| N | 2081S0010X | Sports Medicine | E3936 | CA |
| N | 213ES0000X | Sports Medicine | E3936 | CA |
National Provider Identifier
| NPI | 1487673471 |
|---|---|
| Provider Name | Gordon Julian Shumate JR. |
| First Address | Redding, CA 96001-2101 |
| Second Address | Redding, CA 96001-2101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 27/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000E39360 | (05) | CA |
| U50911 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.