Paul Richard Shonka in Santa Rosa - Podiatrist

Paul Richard Shonka - NPI 1215935051

Paul Richard Shonka is a Podiatrist in Santa Rosa, California. Paul Richard Shonka practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Paul Richard Shonka is 1215935051. The last update date is 2012-02-07.

Paul Richard Shonka's current location address is 3536 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075756033 and fax number 7075685942. The mailing address for Paul Richard Shonka is 3536 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Richard Shonka
Address 3536 Mendocino Ave, Santa Rosa, California
Phone Number 7075756033
Fax Number 7075685942
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1215935051
Provider Enumeration Date 2005-07-13
Last Updated Date 2012-02-07

Provider Mailing Address Detail

Address 3536 Mendocino Ave
City Santa Rosa
State California (CA)
Post Code 9540336340
Phone Number 7075756033
Fax Number 7075685942

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No E2738
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000E27380 CA BLUE SHIELD OF CALIFORNIA
480029370 CA RAILROAD MEDICARE
000E27380 CA --

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FAQs about Paul Richard Shonka

What is the unique 10-digit identifier code issued to Paul Richard Shonka by the Centers for Medicare & Medicaid Services?

The Paul Richard Shonka has been assigned the NPI (National Provider Identifier) 1215935051 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Paul Richard Shonka's physical address?

The Paul Richard Shonka is physically located at 3536 Mendocino Ave, in the city of Santa Rosa, CA, with the postal code 9540336340.

What is Paul Richard Shonka's specialized field of practice, and what is the corresponding taxonomy classification code?

The Paul Richard Shonka's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.

When did Paul Richard Shonka receive its 1215935051 assignment?

The Paul Richard Shonka was assigned its 1215935051 on 2005-07-13, which is the date when this unique identifier was issued to the organization.

As of what date were the Paul Richard Shonka's details last updated?

The information pertaining to the Paul Richard Shonka, including its address, specialty, and other details, was most recently updated on 2012-02-07.

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