Dr. Michael C. Shulkin,Od

LBN: Dr. Michael C. Shulkin,Od
Dr. Michael C. Shulkin,Od is an health care organization with primary practice located at 1188 Montgomery Dr , Santa Rosa CA 95405-4802. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Dr. Michael C. Shulkin,Od can be contacted via phone (707) 542-3404, or through Shulkin, Michael Charles via phone (707) 542-3404.

Contact Information

Primary practice address
1188 Montgomery Dr Santa Rosa CA 95405-4802
Phone: (707) 542-3404
Fax: (707) 542-3404
Website:
Map and Directions
Authorized official contact:
Name: Shulkin, Michael Charles Doctor of Optometry (OD)
Phone: (707) 542-3404

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X OPT77030TPA California
Ambulatory Health Care Facilities / Primary Care 261QP2300X OPT77030TPA California

Profile Details

NPI number 1568646610
LBN Legal business name Dr. Michael C. Shulkin,Od
DBA Doing business as
Authorized official Shulkin, Michael Charles Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Mar 27th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568646610 NPPES
California Other P00365795 MEDICARE RAILROAD CARRIER
California MEDICAID SD0077030 MEDICARE RAILROAD CARRIER
California Other ZZZ03669Z MEDICARE RAILROAD CARRIER

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