Rabidou, Shellie Ann

Rabidou, Shellie Ann is an individual health care provider with primary practice located at 916 Koala Dr , Omak WA 98841-9759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rabidou, Shellie Ann can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
916 Koala Dr Omak WA 98841-9759
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004975 Washington

Profile Details

NPI number 1396745626
LBN Legal business name Rabidou, Shellie Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Aug 19th, 2022 - about 2 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 1396745626 NPPES
Washington Other 314765 LNI
Washington Other G8924576 LNI
Washington MEDICAID 1396745626 LNI

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