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:
Health care specialties
| Specialty | Code | License # | 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 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 | 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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