Fenoughty, Shawn

Fenoughty, Shawn is an individual health care provider with primary practice located at 1000 E Main St , Danville IN 46122-1948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Fenoughty, Shawn can be contacted via phone (317) 745-4451.

Contact Information

Primary practice address
1000 E Main St Danville IN 46122-1948
Phone: (317) 745-4451
Fax: (317) 745-8477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01056032A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01056032A Indiana

Profile Details

NPI number 1548255573
LBN Legal business name Fenoughty, Shawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Apr 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548255573 NPPES
Indiana MEDICAID 100107650

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