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Contact Information

DANIEL J SHIRLEY, DO
5165 MCCARTY LN
LAFAYETTE, IN47905-8764
 Phone: 765-448-8000
 Fax: 765-446-4695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DANIEL J SHIRLEY · (Male)

NPI Number 1669473740
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/10/2005
Last updated 04/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS8034
  • IN License # 02004278A
  • OH License # 34006533
  • IN Medicaid 200116460
  • IN Medicaid 2001783
  • KY Medicaid 65954084
  • OH Medicaid 0889776
  • Other 050062965 RAILROAD MEDICARE
  • IN Other 264430H13 MEDICARE PTAN
  • IN Other 815500607 MEDICARE PTAN
Hospital affiliation(s)
  • JEWISH HOSPITAL LLC - (Acute Care)
    4777 EAST GALBRAITH ROAD
    CINCINNATI, OH 45236
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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