Joyce, Shannon M

Joyce, Shannon M is an individual health care provider with primary practice located at 5926 Crawfordsville Rd Unit B , Indianapolis IN 46224-3722. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Joyce, Shannon M can be contacted via phone (317) 653-2730.

Contact Information

Primary practice address
5926 Crawfordsville Rd Unit B Indianapolis IN 46224-3722
Phone: (317) 653-2730
Fax: (317) 623-1440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 01045328A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01045328A Indiana

Profile Details

NPI number 1790769289
LBN Legal business name Joyce, Shannon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Sep 21st, 2018 - about 8 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 1790769289 NPPES
Indiana MEDICAID 200185170

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