Sheely, Jessica A
Sheely, Jessica A is an individual health care provider with primary practice located at 18051 River Rd Suite 200, Noblesville IN 46062-7091. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sheely, Jessica A can be contacted via phone (317) 773-0002.Contact Information
Primary practice address
18051 River Rd Suite 200
Noblesville IN 46062-7091
Phone: (317) 773-0002
Fax: (317) 776-6095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01064115A | Indiana |
Profile Details
| NPI number | 1033256086 |
|---|---|
| LBN Legal business name | Sheely, Jessica A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Sep 21st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033256086 | NPPES |
| Indiana | MEDICAID | 200868660 | |
| Indiana | Other | 000000623502 |
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