Dieudonne, Shelley Kaluf
Dieudonne, Shelley Kaluf is an individual health care provider with primary practice located at 980 Averitt Rd , Greenwood IN 46143-9540. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dieudonne, Shelley Kaluf can be contacted via phone (317) 254-6480.Contact Information
Primary practice address
980 Averitt Rd
Greenwood IN 46143-9540
Phone: (317) 254-6480
Fax: (317) 259-8609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003192A | Indiana |
Profile Details
| NPI number | 1699960104 |
|---|---|
| LBN Legal business name | Dieudonne, Shelley Kaluf |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2007 |
| Last updated | Mar 27th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699960104 | NPPES |
| Indiana | Other | 000000617702 | ANTHM BC/BS |
| Indiana | Other | IN3192 | ANTHM BC/BS |
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