Individual
JACOB C SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 330, FORT WAYNE, IN 46845-1674
(260) 494-3484
(260) 969-0188
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012742A
IN
Other
Enumeration date
04/28/2022
Last updated
11/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us