| Stephanie Shank | |
|
13295 Illinois St Suite 311 Carmel IN 46032-3019 | |
| (317) 440-4176 | |
| (775) 288-3479 |
| Full Name | Stephanie Shank |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13295 Illinois St, Carmel, Indiana |
| Authorized Official Name and Position | Stephanie Shank (OWNER) |
| Authorized Official Contact | 3174404176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Shank 654 Overcup St Westfield IN 46074-5803 Ph: (317) 440-4176 | Stephanie Shank 13295 Illinois St Suite 311 Carmel IN 46032-3019 Ph: (317) 440-4176 |
| NPI Number | 1801084579 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 02/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801084579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 39001720A (Indiana) | Primary |
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