Wegman, Shelly Howard

Wegman, Shelly Howard is an individual health care provider with primary practice located at 1400 Timber Drive East , Garner NC 27529-6925. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Wegman, Shelly Howard can be contacted via phone (919) 661-6100.

Contact Information

Primary practice address
1400 Timber Drive East Garner NC 27529-6925
Fax: (919) 661-6101
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X L002059 North Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L002059 North Carolina

Profile Details

NPI number 1417165176
LBN Legal business name Wegman, Shelly Howard
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Sep 14th, 2015 - about 9 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 1417165176 NPPES
North Carolina Other Q50643E853 MEDICARE PTAN
North Carolina Other Q50643A MEDICARE PTAN

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