Shanks, Anthony

Shanks, Anthony is an individual health care provider with primary practice located at 7120 Clearvista Dr Ste 5900, Indianapolis IN 46256-1621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Shanks, Anthony can be contacted via phone (317) 621-9210.

Contact Information

Primary practice address
7120 Clearvista Dr Ste 5900 Indianapolis IN 46256-1621
Phone: (317) 621-9210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 01075942A Indiana
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 2007018034 Missouri

Profile Details

NPI number 1871619825
LBN Legal business name Shanks, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Feb 1st, 2021 - about 4 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 1871619825 NPPES
Indiana Other P01678744 MEDICARE RR
Indiana MEDICAID 321400217 MEDICARE RR
Indiana MEDICAID 201321820 MEDICARE RR

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