Shank, Martin H

Shank, Martin H is an sole proprietor health care provider with primary practice located at 10035 Sw 1St Ct , Coral Springs FL 33071-7346. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Shank, Martin H can be contacted via phone (561) 542-4100.

Contact Information

Primary practice address
10035 Sw 1St Ct Coral Springs FL 33071-7346
Phone: (561) 542-4100
Fax: (954) 752-8277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1208 Florida
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO1208 Florida

Profile Details

NPI number 1770567349
LBN Legal business name Shank, Martin H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Jan 28th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770567349 NPPES
Florida MEDICAID 029776300

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