Mahan, John T

Mahan, John T is an individual health care provider with primary practice located at 1741 Midland Trl , Shelbyville KY 40065-1711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Mahan, John T can be contacted via phone (502) 633-0192.

Contact Information

Primary practice address
1741 Midland Trl Shelbyville KY 40065-1711
Fax: (502) 633-0192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 28822 Kentucky

Profile Details

NPI number 1780665174
LBN Legal business name Mahan, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Oct 7th, 2020 - 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 1780665174 NPPES
Kentucky Other 50040687 PASSPORT (JPG)
Kentucky MEDICAID 200143910A/B PASSPORT (JPG)
Kentucky MEDICAID 64288228 PASSPORT (JPG)

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