Shimko, Mark S
Shimko, Mark S is an individual health care provider with primary practice located at 1342 S Division St #401, Salisbury MD 21804-6921. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Shimko, Mark S can be contacted via phone (410) 546-2133.Contact Information
Primary practice address
1342 S Division St #401
Salisbury MD 21804-6921
Phone: (410) 546-2133
Fax: (410) 548-3361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 50973 | Minnesota |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D0073462 | Maryland |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | C1-0009994 | Delaware |
Profile Details
| NPI number | 1457541278 |
|---|---|
| LBN Legal business name | Shimko, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2007 |
| Last updated | Jul 9th, 2012 - about 12 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 | 1457541278 | NPPES |
| Minnesota | Other | P00645889 | MEDICARE, RAILROAD |
| Minnesota | MEDICAID | ENROLLED | MEDICARE, RAILROAD |
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