Individual
DR. JONATHAN DAVID SHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1046 TULIP TER, HARRISONBURG, VA 22801-5324
(540) 421-0779
(540) 438-0023
Mailing address
PO BOX 169, HARRISONBURG, VA 22803-0169
(540) 421-0779
(540) 438-0023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-038014
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802810
CIGNA
VA
01
—
1000870001
DME PROVIDER
VA
05
—
1568432706
—
VA
01
—
302937
ANTHEM
VA
01
—
3810009499
WV MEDICAID
VA
01
—
42417
OPTIMA
VA
01
—
638339
SOUTHERN HEALTH
VA
Enumeration date
01/23/2006
Last updated
07/30/2013
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