Individual
CHARLES B SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 SYCAMORE HILLS CT, LOUISVILLE, KY 40245-5095
(502) 243-8330
(502) 243-8330
Mailing address
205 SYCAMORE HILLS CT, LOUISVILLE, KY 40245-5095
(502) 243-8330
(502) 243-8330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
18903
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068700
ANTHEM
KY
05
—
64189038
—
KY
Enumeration date
02/10/2006
Last updated
06/18/2009
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