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:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1790769289 | NPPES |
| Indiana | MEDICAID | 200185170 |
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