Thompson, Shelly K

Thompson, Shelly K is an individual health care provider with primary practice located at 2308 E Main St Suite G, New Iberia LA 70560-4041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Thompson, Shelly K can be contacted via phone (337) 367-2001.

Contact Information

Primary practice address
2308 E Main St Suite G New Iberia LA 70560-4041
Fax: (337) 365-3050
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 201197 Louisiana

Profile Details

NPI number 1811108566
LBN Legal business name Thompson, Shelly K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Sep 13th, 2016 - about 10 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 1811108566 NPPES
Louisiana MEDICAID 1214779

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