Foster, Shelly A
Foster, Shelly A is an individual health care provider with primary practice located at 1520 Logan Ave Ste 3 , Cheyenne WY 82001-5138. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Foster, Shelly A can be contacted via phone (970) 817-3426.Contact Information
Primary practice address
1520 Logan Ave Ste 3
Cheyenne WY 82001-5138
Phone: (970) 817-3426
Fax: (307) 514-9445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 275 | Wyoming |
Profile Details
| NPI number | 1760480875 |
|---|---|
| LBN Legal business name | Foster, Shelly A |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Nov 25th, 2018 - about 7 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 | 1760480875 | NPPES |
| Wyoming | MEDICAID | 130755000 | |
| Wyoming | Other | 311228 |
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