Shelly, Wendy B.
Shelly, Wendy B. is an individual health care provider with primary practice located at 8010 Frost St Plaza Level, San Diego CA 92123-2778. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is her primary health care specialty. Shelly, Wendy B. can be contacted via phone (858) 505-5500.Contact Information
Primary practice address
8010 Frost St Plaza Level
San Diego CA 92123-2778
Phone: (858) 505-5500
Fax: (858) 505-5555
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A90649 | California |
Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | A90649 | California |
Profile Details
NPI number | 1871530147 |
---|---|
LBN Legal business name | Shelly, Wendy B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Jul 21st, 2011 - about 14 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 | 1871530147 | NPPES |
California | MEDICAID | 00A906490 |
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