Faubion, Shelly Dawn

Faubion, Shelly Dawn is an individual health care provider with primary practice located at 303 Se 4Th St , Moore OK 73160-6709. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Faubion, Shelly Dawn can be contacted via phone (405) 794-4664.

Contact Information

Primary practice address
303 Se 4Th St Moore OK 73160-6709
Phone: (405) 794-4664
Fax: (405) 794-2853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3260 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3260 Oklahoma

Profile Details

NPI number 1043292493
LBN Legal business name Faubion, Shelly Dawn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 4th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043292493 NPPES
Oklahoma MEDICAID 100125330B

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