DR. JOHN CARROLL SHIVELY M.D. NPI 1770763153

NPI Information

DR. John Carroll Shively, M.D. is an occupational medicine preventive medicine in Lafayette, IN. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. DR. John Carroll Shively, M.D. NPI is 1770763153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3701 STATE ROAD 26 E
LAFAYETTE, IN
ZIP 47905-808
Phone: (765) 448-5800
Fax: (765) 448-2032

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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