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Contact Information

JONATHAN L SHREWSBURY, OD
1303 NORTH MAIN ST.
BEAVER DAM, KY42320
 Phone: 270-274-3294
 Fax: 270-274-4811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JONATHAN L SHREWSBURY · (Male)

NPI # 1326050329
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/12/2006
Last updated 06/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 0956DT
  • KY Medicaid 77009561
Hospital affiliation(s) Not Available
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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