Shelby, Debra Marie
Shelby, Debra Marie is an sole proprietor health care provider with primary practice located at 708 Maryethel Dr , Montgomery AL 36109-1706. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Shelby, Debra Marie can be contacted via phone (334) 593-5540.Contact Information
Primary practice address
708 Maryethel Dr
Montgomery AL 36109-1706
Phone: (334) 593-5540
Fax: (334) 260-5582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | R00120147 | Alabama |
Profile Details
| NPI number | 1144467333 |
|---|---|
| LBN Legal business name | Shelby, Debra Marie |
| Credentials | 032562 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2009 |
| Last updated | Jan 9th, 2009 - about 16 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 | 1144467333 | NPPES |
| Alabama | MEDICAID | R00120147 |
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