Dr. Michael C. Shulkin,Od in Santa Rosa - Clinic/center
Dr. Michael C. Shulkin,Od - NPI 1568646610
Dr. Michael C. Shulkin,Od is a Clinic/center in Santa Rosa, California. Dr. Michael C. Shulkin,Od practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Dr. Michael C. Shulkin,Od is 1568646610. The last update date is 2008-03-27.
Dr. Michael C. Shulkin,Od's current location address is 1188 Montgomery Dr, Santa Rosa, California. You can contact this provider via phone number 7075423404 and fax number 7075423404. The mailing address for Dr. Michael C. Shulkin,Od is 1188 Montgomery Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr. Michael C. Shulkin,Od |
|---|---|
| Address | 1188 Montgomery Dr, Santa Rosa, California |
| Phone Number | 7075423404 |
| Fax Number | 7075423404 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shulkin Charles Michael |
| Credentials | O.D. |
| Telephone Number | 7075423404 |
NPI Number Detail
| NPI Number | 1568646610 |
|---|---|
| Provider Enumeration Date | 2007-12-26 |
| Last Updated Date | 2008-03-27 |
Provider Mailing Address Detail
| Address | 1188 Montgomery Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054802 |
| Phone Number | 7075423404 |
| Fax Number | 7075423404 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | OPT77030TPA |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00365795 | CA | MEDICARE RAILROAD CARRIER | |
| SD0077030 | CA | -- | |
| ZZZ03669Z | CA | MEDICARE (INCORPORATED) |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dr. Michael C. Shulkin,Od by the Centers for Medicare & Medicaid Services?
The Dr. Michael C. Shulkin,Od has been assigned the NPI (National Provider Identifier) 1568646610 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Dr. Michael C. Shulkin,Od located?
The Dr. Michael C. Shulkin,Od is located at 1188 Montgomery Dr, Santa Rosa, CA 954054802.
What is the Dr. Michael C. Shulkin,Od's area of specialization and corresponding taxonomy classification?
The Dr. Michael C. Shulkin,Od's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
When did the Dr. Michael C. Shulkin,Od receive its 1568646610?
The Dr. Michael C. Shulkin,Od was issued its 1568646610 on 2007-12-26, which is the date when the organization was assigned this unique identifier.
When was the Dr. Michael C. Shulkin,Od's information last updated?
The Dr. Michael C. Shulkin,Od's information was last updated on 2008-03-27.