Shonka, Paul Richard

Shonka, Paul Richard is an individual health care provider with primary practice located at 3536 Mendocino Ave Ste 300, Santa Rosa CA 95403-3634. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Shonka, Paul Richard can be contacted via phone (707) 575-6033.

Contact Information

Primary practice address
3536 Mendocino Ave Ste 300 Santa Rosa CA 95403-3634
Phone: (707) 575-6033
Fax: (707) 568-5942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E2738 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2738 California

Profile Details

NPI number 1215935051
LBN Legal business name Shonka, Paul Richard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Feb 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215935051 NPPES
California Other 000E27380 BLUE SHIELD OF CALIFORNIA
California Other 480029370 BLUE SHIELD OF CALIFORNIA
California MEDICAID 000E27380 BLUE SHIELD OF CALIFORNIA

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