Sheely, J Richard

Sheely, J Richard is an individual health care provider with primary practice located at 14000 Nicollet Ave Ste 100 , Burnsville MN 55337-5793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sheely, J Richard can be contacted via phone (952) 428-0200.

Contact Information

Primary practice address
14000 Nicollet Ave Ste 100 Burnsville MN 55337-5793
Phone: (952) 428-0200
Fax: (952) 428-0199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28989 Minnesota

Profile Details

NPI number 1831191253
LBN Legal business name Sheely, J Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Nov 21st, 2011 - 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 1831191253 NPPES
Minnesota MEDICAID 877580000

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