Shankle, Samantha M

Shankle, Samantha M is an individual health care provider with primary practice located at 1101 W University Dr , Rochester MI 48307-1863. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Shankle, Samantha M can be contacted via phone (248) 652-5354.

Contact Information

Primary practice address
1101 W University Dr Rochester MI 48307-1863
Phone: (248) 652-5354
Fax: (248) 652-5861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704239106 Michigan

Profile Details

NPI number 1881731024
LBN Legal business name Shankle, Samantha M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Apr 11th, 2017 - about 8 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 1881731024 NPPES
Other 11904296 CAQH
Other F36455226 CAQH

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