Shoemaker, Ronald L
Shoemaker, Ronald L is an individual health care provider with primary practice located at 2600 Oakland Ave , Elkhart IN 46517-1533. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shoemaker, Ronald L can be contacted via phone (574) 533-1234.Contact Information
Primary practice address
2600 Oakland Ave
Elkhart IN 46517-1533
Phone: (574) 533-1234
Fax: (574) 537-2652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34001890 | Indiana |
Profile Details
| NPI number | 1063457190 |
|---|---|
| LBN Legal business name | Shoemaker, Ronald L |
| Credentials | LSCW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Aug 9th, 2011 - about 14 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 | 1063457190 | NPPES |
| Indiana | Other | 000000203116 | ANTHEM |
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