Hearn, Shelly L

Hearn, Shelly L is an individual health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413-1001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hearn, Shelly L can be contacted via phone (315) 798-1702.

Contact Information

Primary practice address
1729 Burrstone Rd New Hartford NY 13413-1001
Fax: (315) 798-1707
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 233294 New York

Profile Details

NPI number 1134113343
LBN Legal business name Hearn, Shelly L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Mar 17th, 2014 - about 10 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 1134113343 NPPES
New York MEDICAID 02565391

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