Provider Demographics
NPI:1730238403
Name:SHINKLE, MICHAL D (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAL
Middle Name:D
Last Name:SHINKLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E JEFFERSON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2617
Mailing Address - Country:US
Mailing Address - Phone:301-762-7494
Mailing Address - Fax:301-424-2270
Practice Address - Street 1:401 E JEFFERSON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2617
Practice Address - Country:US
Practice Address - Phone:301-762-7494
Practice Address - Fax:301-424-2270
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01330111N00000X
VA0104000607111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor