Individual
RACHEL ANN SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10122 E 10TH ST, SUITE 100, INDIANAPOLIS, IN 46229-2663
(317) 355-5913
(317) 355-3760
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002899A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000004901
ANTHEM LEGACY
IN
05
—
200531710
—
IN
01
—
P01292380
MEDICARE RR PTAN
IN
Enumeration date
05/09/2006
Last updated
11/27/2023
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