Jarrell, Shelby Edward

Jarrell, Shelby Edward is an individual health care provider with primary practice located at 201 Cedar St Se Suite 6600, Albuquerque NM 87106-4917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Jarrell, Shelby Edward can be contacted via phone (505) 724-4300.

Contact Information

Primary practice address
201 Cedar St Se Suite 6600 Albuquerque NM 87106-4917
Phone: (505) 724-4300
Fax: (505) 724-4384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD2014-0957 New Mexico
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X MD2014-0957 New Mexico

Profile Details

NPI number 1003023276
LBN Legal business name Jarrell, Shelby Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 16th, 2015 - 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 1003023276 NPPES
New Mexico MEDICAID 74881736

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