Thomas John Shutsky
Individual provider Active NPI Histology Technician · Pinnacle, NC
NPI 1811742166 · NPPES record last updated Apr 20, 2024
Key facts
- NPI
- 1811742166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Histology Technician 246RH0600X
- Practice address
- 1420 Surry Line Rd
Pinnacle, NC 27043-9330 - Phone
- (860) 710-5720
- NPI assigned
- Apr 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Histology Technician | 246RH0600X | Yes |
Addresses
Primary practice location
1420 Surry Line Rd
Pinnacle, NC 27043-9330
Mailing address
1420 Surry Line Rd
Pinnacle, NC 27043-9330
Phone (860) 710-5720
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All providers in Pinnacle, NC · Histology Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.