Individual
REBECCA GABRIELLA SHOFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6940 MICHIGAN RD STE 140, INDIANAPOLIS, IN 46268-2800
(317) 266-2901
(317) 266-2916
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01093616A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
05/17/2019
Last updated
09/30/2025
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