Shank, Vanessa Jane

Shank, Vanessa Jane is an individual health care provider with primary practice located at 289 Ireland Ave Ireland Army Community Hospital, Fort Knox KY 40121-5111. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Shank, Vanessa Jane can be contacted via phone (502) 624-9864.

Contact Information

Primary practice address
289 Ireland Ave Ireland Army Community Hospital Fort Knox KY 40121-5111
Phone: (502) 624-9864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01056852A Indiana

Profile Details

NPI number 1053394940
LBN Legal business name Shank, Vanessa Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Nov 13th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053394940 NPPES
Indiana Other 01056852A GENERAL PRACTICE

Popular Providers