Faris, Shellie Kathleen
Faris, Shellie Kathleen is an individual health care provider with primary practice located at 2016 S Main St , Maryville MO 64468-2655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Faris, Shellie Kathleen can be contacted via phone (660) 562-2525.Contact Information
Primary practice address
2016 S Main St
Maryville MO 64468-2655
Phone: (660) 562-2525
Fax: (660) 562-4303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2007007765 | Missouri |
Profile Details
| NPI number | 1174743884 |
|---|---|
| LBN Legal business name | Faris, Shellie Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Nov 9th, 2012 - about 12 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 | 1174743884 | NPPES |
| Iowa | MEDICAID | 1912965328 | |
| Iowa | MEDICAID | 206341000 |
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