National Provider Identifier Database

SHADELAND ANESTHESIA
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

SHADELAND ANESTHESIA
8805 N MERIDIAN ST
INDIANAPOLIS, IN46260-2760
Phone: 317-706-3415
Fax: 317-706-3419
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for SHADELAND ANESTHESIA

NPI Number 1780864926
Legal business name
LBN
SHADELAND ANESTHESIA
Authorized official EDWARD KOWLOWITZ - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/05/2007
Last updated 04/11/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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