Kimmel, Shelby
Kimmel, Shelby is an individual health care provider with primary practice located at 1 Brookhill Sq S , Sugarloaf PA 18249-1016. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Kimmel, Shelby can be contacted via phone (570) 578-5687.Contact Information
Primary practice address
1 Brookhill Sq S
Sugarloaf PA 18249-1016
Phone: (570) 578-5687
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Pennsylvania |
Profile Details
| NPI number | 1801478425 |
|---|---|
| LBN Legal business name | Kimmel, Shelby |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2021 |
| Last updated | Apr 23rd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801478425 | NPPES |
| Pennsylvania | Other | 5708023099 | MISSION AUTISM CLINICS |
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