Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roosevelt Shuler Jr., COACH

Individual provider Health & Wellness Coach · NPI 1861271215

Roosevelt Shuler Jr., COACH is a Health & Wellness Coach in Gary, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
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Practice location Address checks out

709 Van Buren St # B
Gary, IN 46402-2230
Phone: (219) 616-3067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X · Licence 223754 (IN)

Record details

NPI number1861271215
Entity typeIndividual (Type 1)
GenderMale
Credentials COACH
Sole proprietorYes
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

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