Shively, Stephen Richard
Shively, Stephen Richard is an individual health care provider with primary practice located at 1 Memorial Sq Ste 2100 , Greenfield IN 46140-1380. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Shively, Stephen Richard can be contacted via phone (317) 477-6683.Contact Information
Primary practice address
1 Memorial Sq Ste 2100
Greenfield IN 46140-1380
Phone: (317) 477-6683
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 02007116A | Indiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0102207029 | Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1417497819 |
|---|---|
| LBN Legal business name | Shively, Stephen Richard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2017 |
| Last updated | Nov 22nd, 2023 - about 3 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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