Shelby Family Practice

LBN: Shelby Family Practice
Shelby Family Practice is an health care organization with primary practice located at 808 Schenck St , Shelby NC 28150-3934. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Shelby Family Practice can be contacted via phone (704) 487-1148, or through Wiens, Daniel L via phone (704) 355-0648.

Contact Information

Primary practice address
808 Schenck St Shelby NC 28150-3934
Phone: (704) 487-1148
Fax: (704) 487-7753
Website:
Map and Directions
Authorized official contact:
Name: Wiens, Daniel L
Phone: (704) 355-0648

Health care specialties

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

Profile Details

NPI number 1770513772
LBN Legal business name Shelby Family Practice
DBA Doing business as
Authorized official Wiens, Daniel L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770513772 NPPES
North Carolina MEDICAID 8902652

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