Shellman, Derek Glenn
Shellman, Derek Glenn is an individual health care provider with primary practice located at 433 Sportsplex Dr Ste 200 , Dripping Springs TX 78620-5359. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Shellman, Derek Glenn can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
433 Sportsplex Dr Ste 200
Dripping Springs TX 78620-5359
Phone: (800) 404-6050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 14678 | Texas |
Profile Details
| NPI number | 1700475662 |
|---|---|
| LBN Legal business name | Shellman, Derek Glenn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2021 |
| Last updated | Jan 25th, 2023 - about last year |
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 | 1700475662 | NPPES |
| Texas | Other | 14678 | CHIROPRACTIC LICENSE |
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