Shin, Paul Y.

Shin, Paul Y. is an individual health care provider with primary practice located at 114 Executive Dr Suite A, Lafayette IN 47905-4883. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shin, Paul Y. can be contacted via phone (765) 446-5185.

Contact Information

Primary practice address
114 Executive Dr Suite A Lafayette IN 47905-4883
Phone: (765) 446-5185
Fax: (765) 446-5186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01060949A Indiana

Profile Details

NPI number 1821011594
LBN Legal business name Shin, Paul Y.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 23rd, 2021 - about 5 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 1821011594 NPPES
Indiana MEDICAID 200800490

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