Shimel, Marilyn Ray
Shimel, Marilyn Ray is an sole proprietor health care provider with primary practice located at 14986 Mandan Rd , Apple Valley CA 92307-5042. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Shimel, Marilyn Ray can be contacted via phone (760) 242-8864.Contact Information
Primary practice address
14986 Mandan Rd
Apple Valley CA 92307-5042
Phone: (760) 242-8864
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 503540 | California |
Profile Details
| NPI number | 1669518353 |
|---|---|
| LBN Legal business name | Shimel, Marilyn Ray |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669518353 | NPPES |
| California | MEDICAID | EPS014460 |
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