Gittens, Shelley
Gittens, Shelley is an individual health care provider with primary practice located at 1865 Tamarack Rd , Newark OH 43055. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gittens, Shelley can be contacted via phone (220) 564-4935.Contact Information
Primary practice address
1865 Tamarack Rd
Newark OH 43055
Phone: (220) 564-4935
Fax: (220) 564-4944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 35077113 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-077113 | Ohio |
Profile Details
| NPI number | 1801895990 |
|---|---|
| LBN Legal business name | Gittens, Shelley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Mar 26th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801895990 | NPPES |
| Ohio | MEDICAID | 2145664 |
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