Amilcka, Shelda

Amilcka, Shelda is an individual health care provider with primary practice located at 1900 Randolph Rd Ste 300 , Charlotte NC 28207-1106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Amilcka, Shelda can be contacted via phone (704) 384-6225.

Contact Information

Primary practice address
1900 Randolph Rd Ste 300 Charlotte NC 28207-1106
Phone: (704) 384-6225
Fax: (704) 316-3825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-05218 North Carolina

Profile Details

NPI number 1003217332
LBN Legal business name Amilcka, Shelda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2014
Last updated Oct 25th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003217332 NPPES
North Carolina MEDICAID 1003217332

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