Capehart, Shelley
Capehart, Shelley is an individual health care provider with primary practice located at 6465 S Yale Ave Suite 900, Tulsa OK 74136-7823. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Capehart, Shelley can be contacted via phone (918) 481-4800.Contact Information
Primary practice address
6465 S Yale Ave Suite 900
Tulsa OK 74136-7823
Phone: (918) 481-4800
Fax: (918) 481-4826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L6005 | Texas |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | L6005 | Texas |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 25008 | Oklahoma |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25008 | Oklahoma |
Profile Details
| NPI number | 1013941418 |
|---|---|
| LBN Legal business name | Capehart, Shelley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Aug 5th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013941418 | NPPES |
| Oklahoma | MEDICAID | 100739880A | |
| Oklahoma | MEDICAID | 202408501 |
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