Kellerby, Shasta Marie
Kellerby, Shasta Marie is an sole proprietor health care provider with primary practice located at 195 W 14Th , Rifle CO 81650-4700. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kellerby, Shasta Marie can be contacted via phone (970) 625-5200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 904683 | Colorado |
Profile Details
| NPI number | 1417228404 |
|---|---|
| LBN Legal business name | Kellerby, Shasta Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2012 |
| Last updated | Jan 23rd, 2012 - about 13 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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