| Doctor Name: | RONALD L SHOEMAKER |
| NPI Number: | 1063457190 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSCW |
| License Number: | 34001890 |
| Business Practice Address: | 2600 Oakland Ave Elkhart, IN - 465171533 |
| Business Phone Number: | 5745331234 |
| Business Fax Number: | 5745372652 |
| Mailing Address: | 330 Lakeview Dr, GOSHEN |
| State: | IN |
| Postal Code: | 465289365 |
| Phone Number: | 5745331234 |
| Fax Number: | 5745372652 |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 08/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34001890 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |