Solivan Wilson, Raquel Shelly
Solivan Wilson, Raquel Shelly is an individual health care provider with primary practice located at 23 Medical Group/Sgpf 3278 Mitchell Blvd Bld 900 , Moody Afb GA 31699-8273. She recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as her primary health care specialty. Solivan Wilson, Raquel Shelly can be contacted via phone (229) 257-4685.Contact Information
Primary practice address
23 Medical Group/Sgpf 3278 Mitchell Blvd Bld 900
Moody Afb GA 31699-8273
Phone: (229) 257-4685
Fax: (229) 257-3242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1528379732 |
|---|---|
| LBN Legal business name | Solivan Wilson, Raquel Shelly |
| Credentials | IDMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Nov 8th, 2023 - about last year |
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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