Shaw, Bryan Ingram

Shaw, Bryan Ingram is an individual health care provider with primary practice located at 851 Ireland Ave , Fort Knox KY 40121-2722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Shaw, Bryan Ingram can be contacted via phone (502) 624-0236.

Contact Information

Primary practice address
851 Ireland Ave Fort Knox KY 40121-2722
Phone: (502) 624-0236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X P6082 Texas

Profile Details

NPI number 1073753273
LBN Legal business name Shaw, Bryan Ingram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2009
Last updated Apr 13th, 2017 - about 7 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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