Bandy, Shelley Phillips
Bandy, Shelley Phillips is an sole proprietor health care provider with primary practice located at 306 Penny Ln , Morehead City NC 28557-4306. She recently has 6 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Dialysis Equipment & Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is her primary health care specialty. Bandy, Shelley Phillips can be contacted via phone (252) 773-0904.Contact Information
Primary practice address
306 Penny Ln
Morehead City NC 28557-4306
Phone: (252) 773-0904
Fax: (252) 565-1733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Customized Equipment | 332BC3200X | C51438 | North Carolina |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | C51438 | North Carolina |
| Suppliers / Dialysis Equipment & Supplies | 332BD1200X | C51438 | North Carolina |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | C51438 | North Carolina |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | C51438 | North Carolina |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | C51438 | North Carolina |
Profile Details
| NPI number | 1295139913 |
|---|---|
| LBN Legal business name | Bandy, Shelley Phillips |
| Credentials | CMF,CMF,COF |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2014 |
| Last updated | Feb 10th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295139913 | NPPES |
| North Carolina | MEDICAID | 1295280139 | |
| North Carolina | Other | 1295280139 | |
| North Carolina | Other | 1295280139 | |
| North Carolina | Other | 1295280139 |
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