Shimko, John Michael

Shimko, John Michael is an sole proprietor health care provider with primary practice located at 10130 Perimeter Pkwy Ste 200 , Charlotte NC 28216-0197. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Shimko, John Michael can be contacted via phone (888) 849-7379.

Contact Information

Primary practice address
10130 Perimeter Pkwy Ste 200 Charlotte NC 28216-0197
Fax: (855) 857-7333
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 270 North Carolina

Profile Details

NPI number 1194718619
LBN Legal business name Shimko, John Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Oct 12th, 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 1194718619 NPPES
North Carolina Other 0816H BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 890816H BLUE CROSS BLUE SHIELD

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