Shaw, G. Lyman

Shaw, G. Lyman is an sole proprietor health care provider with primary practice located at 17 Motif Blvd , Brownsburg IN 46112-1017. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Orthopedic, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Shaw, G. Lyman can be contacted via phone (317) 852-3870.

Contact Information

Primary practice address
17 Motif Blvd Brownsburg IN 46112-1017
Fax: (317) 852-7417
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 08001024 Indiana
Chiropractic Providers / Sports Physician 111NS0005X 08001024 Indiana

Profile Details

NPI number 1114017084
LBN Legal business name Shaw, G. Lyman
Credentials D.C., F.A.C.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Dec 4th, 2007 - about 17 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 1114017084 NPPES
Indiana MEDICAID 100133640

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