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
Phone: (888) 849-7379
Fax: (855) 857-7333
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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