Glisson, Shawn D

Glisson, Shawn D is an individual health care provider with primary practice located at 676 S Floyd St Fl 2 , Louisville KY 40202-1840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Glisson, Shawn D can be contacted via phone (502) 629-2500.

Contact Information

Primary practice address
676 S Floyd St Fl 2 Louisville KY 40202-1840
Phone: (502) 629-2500
Fax: (502) 629-2055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01042659A Indiana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 29701 Kentucky

Profile Details

NPI number 1821061268
LBN Legal business name Glisson, Shawn D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 10th, 2021 - about 3 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 1821061268 NPPES
Other 830005455 RAILROAD MEDICARE
Other 000000051749 RAILROAD MEDICARE
MEDICAID 200034300A RAILROAD MEDICARE
Other 1068275 RAILROAD MEDICARE
MEDICAID 64297013 RAILROAD MEDICARE

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