Faltynski, Shelby

Faltynski, Shelby is an individual health care provider with primary practice located at 1111 Lighthouse Ln , Goshen IN 46526-3824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Faltynski, Shelby can be contacted via phone (574) 533-8925.

Contact Information

Primary practice address
1111 Lighthouse Ln Goshen IN 46526-3824
Phone: (574) 533-8925
Fax: (574) 533-0277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71005391A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28190483A Indiana

Profile Details

NPI number 1205229952
LBN Legal business name Faltynski, Shelby
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2015
Last updated Mar 17th, 2018 - about 8 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 1205229952 NPPES
Indiana MEDICAID 200817480

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