Shehorn, Angela R

Shehorn, Angela R is an individual health care provider with primary practice located at 917 Sagamore Pkwy W , West Lafayette IN 47906-1443. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Shehorn, Angela R can be contacted via phone (765) 463-2200.

Contact Information

Primary practice address
917 Sagamore Pkwy W West Lafayette IN 47906-1443
Phone: (765) 463-2200
Fax: (765) 463-3625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 31003006A Indiana

Profile Details

NPI number 1932289709
LBN Legal business name Shehorn, Angela R
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Oct 19th, 2016 - about 8 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 1932289709 NPPES
Indiana Other 000000961346 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200935630 ANTHEM PROVIDER NUMBER

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