Shank, Martin H
Shank, Martin H is an sole proprietor health care provider with primary practice located at 10035 Sw 1St Ct , Coral Springs FL 33071-7346. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Shank, Martin H can be contacted via phone (561) 542-4100.Contact Information
Primary practice address
10035 Sw 1St Ct
Coral Springs FL 33071-7346
Phone: (561) 542-4100
Fax: (954) 752-8277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO1208 | Florida |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO1208 | Florida |
Profile Details
| NPI number | 1770567349 |
|---|---|
| LBN Legal business name | Shank, Martin H |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Jan 28th, 2015 - about 11 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 | 1770567349 | NPPES |
| Florida | MEDICAID | 029776300 |
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