Shellock, Jessica Leigh
Shellock, Jessica Leigh is an sole proprietor health care provider with primary practice located at 6020 W Parker Rd Ste 200 , Plano TX 75093-8172. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as her primary health care specialty. Shellock, Jessica Leigh can be contacted via phone (972) 608-5000.Contact Information
Primary practice address
6020 W Parker Rd Ste 200
Plano TX 75093-8172
Phone: (972) 608-5000
Fax: (972) 473-3929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | M9650 | Texas |
Profile Details
| NPI number | 1700975398 |
|---|---|
| LBN Legal business name | Shellock, Jessica Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jun 29th, 2020 - about 4 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 | 1700975398 | NPPES |
| Texas | Other | M9650 | TEXAS MEDICAL LICENSE |
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