Michael Aubrey Shanholtzer in New Lenox - Podiatrist
Michael Aubrey Shanholtzer - NPI 1720180656
Michael Aubrey Shanholtzer is a Podiatrist in New Lenox, Illinois. Michael Aubrey Shanholtzer practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Michael Aubrey Shanholtzer is 1720180656. The last update date is 2013-06-18.
Michael Aubrey Shanholtzer's current location address is 1514 Eagle Vista Dr, New Lenox, Illinois. You can contact this provider via phone number 8154855862. The mailing address for Michael Aubrey Shanholtzer is 1514 Eagle Vista Dr, New Lenox, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Aubrey Shanholtzer |
|---|---|
| Address | 1514 Eagle Vista Dr, New Lenox, Illinois |
| Phone Number | 8154855862 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1720180656 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2013-06-18 |
Provider Mailing Address Detail
| Address | 1514 Eagle Vista Dr |
|---|---|
| City | New Lenox |
| State | Illinois (IL) |
| Post Code | 604512313 |
| Phone Number | 8154855862 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16003108 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60201194 | IL | BLUE CROSS/PRIMARY OFFICE | |
| 60010777 | IL | BLUE CROSS/SECOND OFFICE |
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What is the Michael Aubrey Shanholtzer's 1720180656?
The Michael Aubrey Shanholtzer's NPI (National Provider Identifier) Number is 1720180656. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Michael Aubrey Shanholtzer is geographically located?
The Michael Aubrey Shanholtzer is physically situated at the following location: 1514 Eagle Vista Dr, New Lenox, IL, 604512313.
What is Michael Aubrey Shanholtzer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Aubrey Shanholtzer's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Michael Aubrey Shanholtzer receive its 1720180656 assignment from the Centers for Medicare & Medicaid Services?
The Michael Aubrey Shanholtzer was assigned its 1720180656 by the Centers for Medicare & Medicaid Services on 2006-09-01.
As of what date were the details pertaining to Michael Aubrey Shanholtzer last refreshed?
The information related to the Michael Aubrey Shanholtzer, including its address, specialty, and other relevant details, was last updated on 2013-06-18.
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