Withers, Shelly Anne

Withers, Shelly Anne is an individual health care provider with primary practice located at 11092 Anderson St , Loma Linda CA 92350-1706. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Withers, Shelly Anne can be contacted via phone (909) 558-4631.

Contact Information

Primary practice address
11092 Anderson St Loma Linda CA 92350-1706
Phone: (909) 558-4631
Fax: (909) 558-0313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X RDH 19010 California
Dental Providers / Dental Hygienist 124Q00000X H5578 Oregon

Profile Details

NPI number 1689826653
LBN Legal business name Withers, Shelly Anne
Credentials BS, RDH, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Oct 15th, 2014 - 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 1689826653 NPPES
California Other RDH 19010 STATE LICENSE

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