Meredith, Shirley Jean

Meredith, Shirley Jean is an sole proprietor health care provider with primary practice located at 125 Fairfax Ave , Louisville KY 40207-4905. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Meredith, Shirley Jean can be contacted via phone (502) 708-2780.

Contact Information

Primary practice address
125 Fairfax Ave Louisville KY 40207-4905
Phone: (502) 708-2780
Fax: (502) 805-0788
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 049920 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35. 072880 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16175 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41773 Kentucky

Profile Details

NPI number 1417136086
LBN Legal business name Meredith, Shirley Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2007
Last updated Mar 8th, 2012 - about 13 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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