Olds, Shelby

Olds, Shelby is an individual health care provider with primary practice located at 350 Steeles Rd , Bristol TN 37620-9532. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Olds, Shelby can be contacted via phone (423) 844-6700.

Contact Information

Primary practice address
350 Steeles Rd Bristol TN 37620-9532
Phone: (423) 844-6700
Fax: (423) 844-6703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD37267 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD37267 Tennessee

Profile Details

NPI number 1205832169
LBN Legal business name Olds, Shelby
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 2nd, 2010 - about 14 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 1205832169 NPPES
Virginia MEDICAID 010098297
Virginia Other 145775
Virginia Other 4088647
Virginia Other P00154678

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