Tighe, Shannon M
Tighe, Shannon M is an individual health care provider with primary practice located at 8150 Oaklandon Road Suite 130, Indianapolis IN 46236-9554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tighe, Shannon M can be contacted via phone (317) 621-7111.Contact Information
Primary practice address
8150 Oaklandon Road Suite 130
Indianapolis IN 46236-9554
Phone: (317) 621-7111
Fax: (317) 621-7110
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01061627A | Indiana |
Profile Details
NPI number | 1508807215 |
---|---|
LBN Legal business name | Tighe, Shannon M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2006 |
Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508807215 | NPPES |
Indiana | Other | 7898849 | AETNA |
Indiana | Other | 000000624364 | AETNA |
Indiana | MEDICAID | 200831060 | AETNA |
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