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
Phone: (317) 852-3870
Fax: (317) 852-7417
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114017084 | NPPES |
Indiana | MEDICAID | 100133640 |
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