Smith, Shelly
Smith, Shelly is an individual health care provider with primary practice located at 401 N Oklahoma Ave , Mangum OK 73554-3011. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Smith, Shelly can be contacted via phone (580) 782-5912.Contact Information
Primary practice address
401 N Oklahoma Ave
Mangum OK 73554-3011
Phone: (580) 782-5912
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1992275721 |
|---|---|
| LBN Legal business name | Smith, Shelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2018 |
| Last updated | Dec 5th, 2018 - about 6 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 | 1992275721 | NPPES |
| Oklahoma | Other | 736021103 | MANGUM PUBLIC SCHOOLS |
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