Jamal Shillingford
Orthopaedic Spine Surgeon
2 Bon Air Rd Ste 120
Larkspur
, California 94939-1142
Jamal Shillingford
Orthopaedic Spine Surgeon
2 Bon Air Rd Ste 120
Larkspur
, California 94939-1142
(502) 272-5063
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Jamal Shillingford
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Phone : (502) 272-5063
Second Address
- Jamal Shillingford
- 2 Bon Air Rd Ste 120
- Larkspur, CA
- Zip : 94939-1142
- Phone : (415) 927-5300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 51177 | KY |
National Provider Identifier
| NPI | 1063855567 |
|---|---|
| Provider Name | Jamal Shillingford |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Larkspur, CA 94939-1142 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2013 |
| Last Update Date | 20/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300013826 | (05) | IN |
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.