Shawchuck, Kay Marie

Shawchuck, Kay Marie is an individual health care provider with primary practice located at 6450 38Th Ave N Ste 440 , St Petersburg FL 33710-1653. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Shawchuck, Kay Marie can be contacted via phone (727) 551-2033.

Contact Information

Primary practice address
6450 38Th Ave N Ste 440 St Petersburg FL 33710-1653
Phone: (727) 551-2033
Fax: (278) 641-4477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40854 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 6639 North Dakota
Allopathic & Osteopathic Physicians / Surgery 208600000X ME119762 Florida

Profile Details

NPI number 1669474805
LBN Legal business name Shawchuck, Kay Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669474805 NPPES
Florida MEDICAID 013635800
Florida MEDICAID 67431880
Florida Other 03T04AB
Florida MEDICAID 17670
Florida Other ABD19054

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