Clinkscales, Shellie
Clinkscales, Shellie is an individual health care provider with primary practice located at 4325 Washington Rd , Evans GA 30809-3966. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clinkscales, Shellie can be contacted via phone (762) 254-2020.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1740947563 |
|---|---|
| LBN Legal business name | Clinkscales, Shellie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2021 |
| Last updated | Sep 14th, 2022 - about 2 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 | 1740947563 | NPPES |
| Georgia | MEDICAID | 1740797489 |
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