Cheatham, Shellie E

Cheatham, Shellie E is an individual health care provider with primary practice located at 2550 Flowood Dr Suite 400, Flowood MS 39232-9303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Cheatham, Shellie E can be contacted via phone (601) 933-9521.

Contact Information

Primary practice address
2550 Flowood Dr Suite 400 Flowood MS 39232-9303
Phone: (601) 933-9521
Fax: (601) 933-9525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R851029 Mississippi

Profile Details

NPI number 1407912702
LBN Legal business name Cheatham, Shellie E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Feb 10th, 2016 - about 9 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 1407912702 NPPES
Mississippi MEDICAID 07620769

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