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Contact Information

ALISHA SHAKE, MD
800 W 9TH ST
JASPER, IN47546
 Phone: 812-996-2345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ALISHA SHAKE · (Female)

NPI # 1912358698
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2016
Last updated 08/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01082390A
  • MI License # 4301110183
Hospital affiliation(s)
  • MEMORIAL HOSPITAL AND HEALTH CARE CENTER - (Acute Care)
    800 W 9TH ST
    JASPER, IN 47546
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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