Shoun, Shelley Dawn

Shoun, Shelley Dawn is an individual health care provider with primary practice located at 6465 S Yale Ave Ste 815 , Tulsa OK 74136-7820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Shoun, Shelley Dawn can be contacted via phone (918) 502-4848.

Contact Information

Primary practice address
6465 S Yale Ave Ste 815 Tulsa OK 74136-7820
Fax: (918) 502-4850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207VH0002X 24064 Oklahoma

Profile Details

NPI number 1467671578
LBN Legal business name Shoun, Shelley Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Oct 13th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467671578 NPPES
Oklahoma MEDICAID 200192440A

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