Shidler, Karen Lee

Shidler, Karen Lee is an individual health care provider with primary practice located at 1101 Michigan Ave , Logansport IN 46947-1528. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Shidler, Karen Lee can be contacted via phone (574) 753-1767.

Contact Information

Primary practice address
1101 Michigan Ave Logansport IN 46947-1528
Phone: (574) 753-1767
Fax: (574) 753-1410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 28076852A Indiana

Profile Details

NPI number 1417169392
LBN Legal business name Shidler, Karen Lee
Credentials R.N., B.S.N., C.D.E.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417169392 NPPES
Indiana MEDICAID 200220390A

Popular Providers