Mamo, Shelmith
Mamo, Shelmith is an sole proprietor health care provider with primary practice located at 2770 Main St Ste 211 , Frisco TX 75033-4439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mamo, Shelmith can be contacted via phone (469) 618-5703.Contact Information
Primary practice address
2770 Main St Ste 211
Frisco TX 75033-4439
Phone: (469) 618-5703
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP126843 | Texas |
Profile Details
NPI number | 1194122341 |
---|---|
LBN Legal business name | Mamo, Shelmith |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 2nd, 2014 |
Last updated | Sep 21st, 2023 - about last year |
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 | 1194122341 | NPPES |
Arizona | MEDICAID | 092683 | |
Arizona | Other | 233336 |
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