Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAUL GERARD SHANKIN JR., CCAR
Active Sole ProprietorMR. PAUL GERARD SHANKIN JR., CCAR is a Peer Specialist healthcare provider located in MADISON HEIGHTS, Michigan. NPI 1467123497 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · MADISON HEIGHTS, MI
Registration Details
- NPI Number
- 1467123497
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2021 (4.9206412848635 yrs)
- Last Updated
- Sep 21, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
28303 DEQUINDRE RDMADISON HEIGHTS, MI, 480713040Browse MI providers · Browse ZIP 48071
- Phone
- 2486581116
- Fax
- 2486581120
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in MADISON HEIGHTS, MI
| Name | Credential | NPI |
|---|---|---|
| DAVID KEITH WALLIS | — | 1134685167 |
| MICHAEL WALBECQ | — | 1891376224 |
| BRITTAIN PATTON | — | 1942946371 |
| LAURA JEAN PROTIC | — | 1124750450 |
| JONATHON MITCHELL MAXGAY | — | 1134853492 |
| JACQUELYN SQUARCIA | — | 1720703903 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.