Shenkman, Carl Tyler

Shenkman, Carl Tyler is an individual health care provider with primary practice located at 501 S Lincoln Ave Ste 22 , Clearwater FL 33756-5964. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Shenkman, Carl Tyler can be contacted via phone (727) 357-7828.

Contact Information

Primary practice address
501 S Lincoln Ave Ste 22 Clearwater FL 33756-5964
Phone: (727) 357-7828
Fax: (727) 337-7646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036000 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME118247 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 36000 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME118247 Florida

Profile Details

NPI number 1083664874
LBN Legal business name Shenkman, Carl Tyler
Credentials M.D., J.D., LLM
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated May 24th, 2024 - about last year

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 1083664874 NPPES
Georgia MEDICAID 000516942H
Georgia Other P00187661
Georgia MEDICAID 011898500

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