Organization
INDIANA BACK CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A SHAY MD (OWNER)
(317) 846-4484
Entity
Organization
Contact information
Practice address
13450 N MERIDIAN ST, STE 244, CARMEL, IN 46032-1546
(317) 846-4484
(317) 571-2344
Mailing address
13450 N MERIDIAN ST, STE 244, CARMEL, IN 46032-1546
(317) 846-4484
(317) 571-2344
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01039661
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255375994
PHYSICIAN INDIVIDUAL NPI
IN
Enumeration date
05/11/2007
Last updated
01/04/2011
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