Shively, John Carroll
Shively, John Carroll is an individual health care provider with primary practice located at 3701 State Road 26 E , Lafayette IN 47905-4808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Shively, John Carroll can be contacted via phone (765) 448-5800.Contact Information
Primary practice address
3701 State Road 26 E
Lafayette IN 47905-4808
Phone: (765) 448-5800
Fax: (765) 448-2032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 01032390A | Indiana |
Profile Details
| NPI number | 1770763153 |
|---|---|
| LBN Legal business name | Shively, John Carroll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Nov 14th, 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.
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