Search › Indiana › 363L00000X
Jacob Shively
NPI 1215672928 · on the registry since 2022
Practice
- Address
- 11104 Parkview Circle Dr Ste 330
Fort Wayne, IN 46845 - Phone
- (260) 494-3484
- Fax
- (260) 969-0188
- Organisation at this address
- Allied Physicians Inc
Allied Physicians, Inc.
Parkview Hospital, Inc.
Parkview Health System Inc
Parkview Health System,Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 184
Additional practice sites
- 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana