Shellie, Roland G

Shellie, Roland G is an sole proprietor health care provider with primary practice located at 202 E Robertson Ave , Copperas Cove TX 76522-2928. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shellie, Roland G can be contacted via phone (254) 547-8442.

Contact Information

Primary practice address
202 E Robertson Ave Copperas Cove TX 76522-2928
Phone: (254) 547-8442
Fax: (254) 547-8555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9701 Texas

Profile Details

NPI number 1275686222
LBN Legal business name Shellie, Roland G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2007
Last updated Jul 9th, 2007 - about 17 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 1275686222 NPPES
Texas Other 9701 BLUECROSSBLUESHIELD
Texas Other 824603 BLUECROSSBLUESHIELD
Texas Other TX9701 BLUECROSSBLUESHIELD

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