Shelley, Paul E
Shelley, Paul E is an individual health care provider with primary practice located at 1506 Osolo Rd Suite A, Elkhart IN 46514-4122. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Shelley, Paul E can be contacted via phone (574) 523-3347.Contact Information
Primary practice address
1506 Osolo Rd Suite A
Elkhart IN 46514-4122
Phone: (574) 523-3347
Fax: (574) 296-7560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 34003756A | Indiana |
Profile Details
| NPI number | 1689703464 |
|---|---|
| LBN Legal business name | Shelley, Paul E |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | May 17th, 2016 - about 8 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 | 1689703464 | NPPES |
| Indiana | Other | 000000520385 | ANTHEM BCBS # |
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