Shankle, Matthew Marvin
Shankle, Matthew Marvin is an individual health care provider with primary practice located at 1101 W University , Rochester MI 48307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shankle, Matthew Marvin can be contacted via phone (248) 652-5354.Contact Information
Primary practice address
1101 W University
Rochester MI 48307
Phone: (248) 652-5354
Fax: (248) 652-5407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301053824 | Michigan |
Profile Details
| NPI number | 1740250448 |
|---|---|
| LBN Legal business name | Shankle, Matthew Marvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | May 20th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740250448 | NPPES |
| Michigan | MEDICAID | 102903575 |
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