Shekleton, Michael F.
Shekleton, Michael F. is an individual health care provider with primary practice located at 2805 N Knoxville Ave , Peoria IL 61604-2869. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Shekleton, Michael F. can be contacted via phone (309) 624-9400.Contact Information
Primary practice address
2805 N Knoxville Ave
Peoria IL 61604-2869
Phone: (309) 624-9400
Fax: (309) 624-2280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-062205 | Illinois |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036-062205 | Illinois |
Profile Details
| NPI number | 1912097205 |
|---|---|
| LBN Legal business name | Shekleton, Michael F. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2006 |
| Last updated | Jan 10th, 2012 - about 13 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 | 1912097205 | NPPES |
| Illinois | MEDICAID | 036062205 |
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