Shapiro, Kenneth
Shapiro, Kenneth is an sole proprietor health care provider with primary practice located at 6021 142Nd Ave N , Clearwater FL 33760-2822. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Shapiro, Kenneth can be contacted via phone (727) 796-6900.Contact Information
Primary practice address
6021 142Nd Ave N
Clearwater FL 33760-2822
Phone: (727) 796-6900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO3126 | Florida |
Profile Details
| NPI number | 1639654148 |
|---|---|
| LBN Legal business name | Shapiro, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2018 |
| Last updated | May 21st, 2024 - about 7 months 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 | 1639654148 | NPPES |
| Florida | MEDICAID | 101996200 |
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