Provider Demographics
NPI:1023283041
Name:SHUMAKER, JAMIE BURTON (AUD)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:BURTON
Last Name:SHUMAKER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GROVE PARK LN STE 800
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-5912
Mailing Address - Country:US
Mailing Address - Phone:334-702-4327
Mailing Address - Fax:334-702-4328
Practice Address - Street 1:200 GROVE PARK LN STE 800
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-5912
Practice Address - Country:US
Practice Address - Phone:334-702-4327
Practice Address - Fax:334-702-4328
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL961A231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
515OtherBCBS OF ALABAMA