Search › Indiana › 363AM0700X
Richard Shore, PA-C
NPI 1972086437 · on the registry since 2018
Practice
- Address
- 2401 W University Ave
Muncie, IN 47303 - Phone
- (765) 751-1720
- Fax
- (765) 741-2961
- Organisation at this address
- Pa Labs Inc
Pa Labs, Llc
Emgi-Ball, Llc
Icem-Ball, Llc
Lil Family IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 343
Additional practice sites
- 1111 Ronald Reagan Pkwy, Avon, IN
- 1701 N Senate Blvd, Indianapolis, IN
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana