Caldwell, Shelli Dawn

Caldwell, Shelli Dawn is an individual health care provider with primary practice located at 301 W Grand Ave , Ponca City OK 74601-5118. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Caldwell, Shelli Dawn can be contacted via phone (580) 765-4456.

Contact Information

Primary practice address
301 W Grand Ave Ponca City OK 74601-5118
Phone: (580) 765-4456
Fax: (580) 765-0668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X T4184 Oklahoma

Profile Details

NPI number 1164513040
LBN Legal business name Caldwell, Shelli Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164513040 NPPES
Oklahoma MEDICAID 100235620

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