Shaknovsky, Thomas J

Shaknovsky, Thomas J is an individual health care provider with primary practice located at 214 Covell Rd , Crestview FL 32539-6060. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Shaknovsky, Thomas J can be contacted via phone (850) 864-4005.

Contact Information

Primary practice address
214 Covell Rd Crestview FL 32539-6060
Phone: (850) 864-4005
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA09329900 New Jersey
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 16658 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X OS16658 Florida

Profile Details

NPI number 1568690014
LBN Legal business name Shaknovsky, Thomas J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2009
Last updated Aug 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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