Greathouse, Shawn Travis

Greathouse, Shawn Travis is an individual health care provider with primary practice located at 1911 Chester Blvd , Richmond IN 47374-1212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Greathouse, Shawn Travis can be contacted via phone (765) 962-4872.

Contact Information

Primary practice address
1911 Chester Blvd Richmond IN 47374-1212
Phone: (765) 962-4872
Fax: (765) 935-8913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01073741A Indiana

Profile Details

NPI number 1578720702
LBN Legal business name Greathouse, Shawn Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated May 14th, 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 1578720702 NPPES
Other 000000951920 ANTHEM
MEDICAID 201241270 ANTHEM

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