Shadrick, Shelly Rae

Shadrick, Shelly Rae is an individual health care provider with primary practice located at 2500 Rocky Mountain Ave Ste 2200 , Loveland CO 80538-9004. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Shadrick, Shelly Rae can be contacted via phone (970) 669-9100.

Contact Information

Primary practice address
2500 Rocky Mountain Ave Ste 2200 Loveland CO 80538-9004
Phone: (970) 669-9100
Fax: (970) 669-0400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001565 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001565 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001565 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 976 Colorado

Profile Details

NPI number 1215919907
LBN Legal business name Shadrick, Shelly Rae
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Oct 27th, 2023 - 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 1215919907 NPPES
Colorado MEDICAID 04139551
Colorado Other POO986704

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