Shakun, Edwin J

Shakun, Edwin J is an individual health care provider with primary practice located at 1001 N Madison Ave , Greenwood IN 46142-4135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shakun, Edwin J can be contacted via phone (317) 888-3508.

Contact Information

Primary practice address
1001 N Madison Ave Greenwood IN 46142-4135
Phone: (317) 888-3508
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01047025A Indiana

Profile Details

NPI number 1467454660
LBN Legal business name Shakun, Edwin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 7th, 2023 - about 2 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 1467454660 NPPES
Indiana Other 01047025B CSR
Indiana Other 01047025A CSR

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