Wise, Shelley D
Wise, Shelley D is an sole proprietor health care provider with primary practice located at 245 Crossroads Blvd , Carmel CA 93923-8650. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wise, Shelley D can be contacted via phone (831) 373-0985.Contact Information
Primary practice address
245 Crossroads Blvd
Carmel CA 93923-8650
Phone: (831) 373-0985
Fax: (831) 620-0711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC20443 | California |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | R1318520818 | California |
Profile Details
| NPI number | 1578566451 |
|---|---|
| LBN Legal business name | Wise, Shelley D |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Sep 10th, 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 | 1578566451 | NPPES |
| California | Other | 7703084230006 | CIGNA |
| California | Other | DC0204430 | CIGNA |
| California | Other | 770308423 | CIGNA |
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