GREGORY SHONK


Address: 18526 London Dr, Macomb, MI 48042-6216
Phone: 5866155662

GREGORY SHONK (NPI# 1306255096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306255096
Entity Type Individual
Full Name GREGORY SHONK
Credential RN
Practice Address 18526 London Dr
Macomb
MI 48042-6216
Practice Telephone 5866155662
Mailing Telephone 5866155662
Enumeration Date 2014-08-06
Last Update Date 2014-08-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA2000X Registered Nurse
Specialization: Administrator
4704191620 MI Nursing Service Providers

Office Location

Street Address 18526 LONDON DR
City MACOMB
State MI
Zip Code 48042-6216

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Taxonomy Information

Taxonomy Code 163WA2000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Administrator

Taxonomy Definition

Definition to come...

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1891354502 Marcia A Regalado Registered Nurse 11208 Kennebec Ave, Allen Park, MI 48101-1008 2019-06-07
1184289019 Lena Faling Registered Nurse 3200 Horton Rd, Jackson, MI 49203-5549 2019-05-06
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1891232526 Maureen Patricia Heathman Registered Nurse 470 E Summit St, Milford, MI 48381-1668 2017-01-19
1164897880 Janet Sims Registered Nurse 8291 Frederick St, Salem, MI 48175 2015-12-07
1881085017 Gina Cummings Registered Nurse 103 W Us2, Wakefield, MI 49968 2015-02-10
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Competitor

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City MACOMB
Zip Code 48042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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