Shanley, Megan C

Shanley, Megan C is an individual health care provider with primary practice located at 1716 Hartford St , Lafayette IN 47904-2173. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shanley, Megan C can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
1716 Hartford St Lafayette IN 47904-2173
Phone: (765) 742-1567
Fax: (765) 429-2763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28191307A Indiana

Profile Details

NPI number 1740645860
LBN Legal business name Shanley, Megan C
Credentials MSN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2015
Last updated Jul 29th, 2024 - 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 1740645860 NPPES
Indiana MEDICAID 201338870

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