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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508807215 NPPES
Indiana Other 7898849 AETNA
Indiana Other 000000624364 AETNA
Indiana MEDICAID 200831060 AETNA

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