Individual
STEVEN SHANKLE
Active
Individual
STEVEN SHANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
026555
TN
207L00000X
Anesthesiology Physician
Primary
26555
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009992195
—
AL
01
—
3014847
BCBS PROVIDER NUMBER
TN
05
—
3095410
—
TN
05
—
64922164
—
KY
Enumeration date
07/05/2005
Last updated
11/21/2014
Update your record
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