Deibel, Shelley

Deibel, Shelley is an individual health care provider with primary practice located at 1106 Tunnel Hill Road Suite 100, Elizabethtown KY 42701-1837. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Deibel, Shelley can be contacted via phone (270) 765-2335.

Contact Information

Primary practice address
1106 Tunnel Hill Road Suite 100 Elizabethtown KY 42701-1837
Phone: (270) 765-2335
Fax: (270) 765-2557
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 105656 Kentucky

Profile Details

NPI number 1962456004
LBN Legal business name Deibel, Shelley
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Dec 19th, 2023 - 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 1962456004 NPPES
Other 11574911 CAQH
MEDICAID 7100265840 CAQH

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