Kelly-Wickersheim, Shawna
Kelly-Wickersheim, Shawna is an sole proprietor health care provider with primary practice located at 591 Ne 2Nd St , Prineville OR 97754-2014. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Kelly-Wickersheim, Shawna can be contacted via phone (541) 550-6200.Contact Information
Primary practice address
591 Ne 2Nd St
Prineville OR 97754-2014
Phone: (541) 550-6200
Fax: (541) 447-4118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X |
Profile Details
| NPI number | 1528499001 |
|---|---|
| LBN Legal business name | Kelly-Wickersheim, Shawna |
| Credentials | CPM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2013 |
| Last updated | Dec 9th, 2013 - about 12 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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