| Dr John Carroll Shively, MD | |
|
3701 State Road 26 E, Lafayette, IN 47905-4808 | |
| (765) 448-5800 | |
| (765) 448-2032 |
| Full Name | Dr John Carroll Shively |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 3701 State Road 26 E, Lafayette, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770763153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 01032390A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Carroll Shively, MD 3701 State Road 26 E, Lafayette, IN 47905-4808 Ph: (765) 448-5800 | Dr John Carroll Shively, MD 3701 State Road 26 E, Lafayette, IN 47905-4808 Ph: (765) 448-5800 |
Elizabeth Riggs, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 Unity Pl, Suite B, Lafayette, IN 47905 Phone: 765-446-1362 Fax: 765-446-1007 | |
Carl D Griffin, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8702 |