Coad, Shelby Maria

Coad, Shelby Maria is an individual health care provider with primary practice located at 1600 Avondale Cir , West Memphis AR 72301-1794. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Coad, Shelby Maria can be contacted via phone (901) 489-4994.

Contact Information

Primary practice address
1600 Avondale Cir West Memphis AR 72301-1794
Phone: (901) 489-4994
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 4392888 Arkansas
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 4392888 Arkansas

Profile Details

NPI number 1720832785
LBN Legal business name Coad, Shelby Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2024
Last updated Apr 29th, 2024 - about 8 months 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 1720832785 NPPES
Arkansas MEDICAID 1841416716

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