Shelbourne, K Donald

Shelbourne, K Donald is an individual health care provider with primary practice located at 1500 North Ritter Avenue Suite 500, Indianapolis IN 46219. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shelbourne, K Donald can be contacted via phone (317) 924-8636.

Contact Information

Primary practice address
1500 North Ritter Avenue Suite 500 Indianapolis IN 46219
Phone: (317) 924-8636
Fax: (317) 921-0237
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 01027165A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01027165A Indiana

Profile Details

NPI number 1689783821
LBN Legal business name Shelbourne, K Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 22nd, 2021 - about 4 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 1689783821 NPPES
Indiana MEDICAID 100311620

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