Shonka, Thomas E

Shonka, Thomas E is an individual health care provider with primary practice located at 1400 28Th St Suite 2, Boulder CO 80303-1096. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Sports Medicine is his primary health care specialty. Shonka, Thomas E can be contacted via phone (303) 449-2000.

Contact Information

Primary practice address
1400 28Th St Suite 2 Boulder CO 80303-1096
Phone: (303) 449-2000
Fax: (303) 449-9475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X CO335 Colorado
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X CO335 Colorado
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X CO335 Colorado

Profile Details

NPI number 1013929660
LBN Legal business name Shonka, Thomas E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Oct 17th, 2011 - about 13 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 1013929660 NPPES
Colorado MEDICAID 01003359
Colorado Other 841514106 03
Colorado Other 841514106 002
Colorado Other SH36054

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