Madsen, Michelle Shelley

Madsen, Michelle Shelley is an individual health care provider with primary practice located at 6500 N Mopac Bldg Iii, Ste 220, Austin TX 78731. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Madsen, Michelle Shelley can be contacted via phone (512) 338-4500.

Contact Information

Primary practice address
6500 N Mopac Bldg Iii, Ste 220 Austin TX 78731
Phone: (512) 338-4500
Fax: (512) 338-4501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT03472 Texas

Profile Details

NPI number 1649210246
LBN Legal business name Madsen, Michelle Shelley
Credentials RD,LD,CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 2nd, 2014 - 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 1649210246 NPPES
Texas Other 0077HC BCBS

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