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Individual

WILLIAM FREDERICK SHONKWILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2002011893
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001688300
COMMUNITY HEALTH PLAN
MO
05
487421505
MO
01
650024543
RR MEDICARE
MO
01
P00600064
RAILROAD MEDICARE
MO
Enumeration date
07/06/2006
Last updated
05/11/2026
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