Provider Demographics
NPI:1780669713
Name:SHURMAN, DON PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:PAUL
Last Name:SHURMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1 NORWEGIAN PLZ
Mailing Address - Street 2:SUITE 302
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-4400
Mailing Address - Country:US
Mailing Address - Phone:570-622-1580
Mailing Address - Fax:570-622-1866
Practice Address - Street 1:1 NORWEGIAN PLZ
Practice Address - Street 2:SUITE 302
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-4400
Practice Address - Country:US
Practice Address - Phone:570-622-1580
Practice Address - Fax:570-622-1866
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS008373L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA096311NZEMedicare ID - Type Unspecified
PAI46193Medicare UPIN