Illingworth, Shelley Renee

Illingworth, Shelley Renee is an individual health care provider with primary practice located at 2402 Route 2 Unit 1 , Hermon ME 04401-0665. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Illingworth, Shelley Renee can be contacted via phone (207) 848-2020.

Contact Information

Primary practice address
2402 Route 2 Unit 1 Hermon ME 04401-0665
Phone: (207) 848-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PR4777 Maine
Pharmacy Service Providers / Pharmacist 183500000X PH23998 Massachusetts

Profile Details

NPI number 1265721773
LBN Legal business name Illingworth, Shelley Renee
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2011
Last updated Jan 28th, 2016 - about 9 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 1265721773 NPPES
Maine Other 1265721773 NPI#

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