Shaw, Vernon Allen

Shaw, Vernon Allen is an individual health care provider with primary practice located at 99 E 86Th Ave , Merrillville IN 46410-6381. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Shaw, Vernon Allen can be contacted via phone (219) 738-2617.

Contact Information

Primary practice address
99 E 86Th Ave Merrillville IN 46410-6381
Phone: (219) 738-2617
Fax: (219) 738-2145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23001343A Indiana

Profile Details

NPI number 1700866506
LBN Legal business name Shaw, Vernon Allen
Credentials CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 22nd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700866506 NPPES
Indiana Other 000000288063 ANTHEM
Indiana MEDICAID 200098570 ANTHEM

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