Shover, John Lindsey

Shover, John Lindsey is an sole proprietor health care provider with primary practice located at 8133 54Th Ave N , St Petersburg FL 33709-1001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Shover, John Lindsey can be contacted via phone (727) 541-4458.

Contact Information

Primary practice address
8133 54Th Ave N St Petersburg FL 33709-1001
Fax: (727) 546-6663
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 053693 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 4202 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 127795 New York

Profile Details

NPI number 1518948017
LBN Legal business name Shover, John Lindsey
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Jul 15th, 2010 - about 14 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 1518948017 NPPES
Florida MEDICAID 057509700

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