Shearon, Elisabeth Cleary
Shearon, Elisabeth Cleary is an individual health care provider with primary practice located at 2434 Interstate Plaza Dr , Hammond IN 46324-2671. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Shearon, Elisabeth Cleary can be contacted via phone (219) 989-3700.Contact Information
Primary practice address
2434 Interstate Plaza Dr
Hammond IN 46324-2671
Phone: (219) 989-3700
Fax: (219) 845-4088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036106782 | Illinois |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01057583A | Indiana |
Profile Details
| NPI number | 1568455467 |
|---|---|
| LBN Legal business name | Shearon, Elisabeth Cleary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jan 23rd, 2024 - about last year |
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 | 1568455467 | NPPES |
| Indiana | Other | 000000647656 | BC/BS |
| Indiana | Other | 351173213 | BC/BS |
| Indiana | Other | 5496757 | BC/BS |
| Indiana | Other | 351173213 | BC/BS |
| Indiana | Other | 01630255 | BC/BS |
| Indiana | Other | 8126697 | BC/BS |
| Indiana | Other | P00816101 | BC/BS |
| Indiana | MEDICAID | 200440730 | BC/BS |
| Indiana | Other | 297664 | BC/BS |
| Indiana | Other | 351173213 | BC/BS |
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