Shelsta, Heather Nicole
Shelsta, Heather Nicole is an individual health care provider with primary practice located at 499 Farmington Ave , Farmington CT 06032-1943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Shelsta, Heather Nicole can be contacted via phone (860) 678-0202.Contact Information
Primary practice address
499 Farmington Ave
Farmington CT 06032-1943
Phone: (860) 678-0202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MT186107 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 048086 | Connecticut |
Profile Details
| NPI number | 1538389978 |
|---|---|
| LBN Legal business name | Shelsta, Heather Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Feb 2nd, 2016 - about 9 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 | 1538389978 | NPPES |
| Connecticut | MEDICAID | 008008199 |
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