Harvey, Shelly M

Harvey, Shelly M is an individual health care provider with primary practice located at 600 S Main St , Fort Worth TX 76104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Harvey, Shelly M can be contacted via phone (817) 882-2400.

Contact Information

Primary practice address
600 S Main St Fort Worth TX 76104
Phone: (817) 882-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X L4428 Texas

Profile Details

NPI number 1255325403
LBN Legal business name Harvey, Shelly M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated May 30th, 2019 - about 7 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 1255325403 NPPES
Oklahoma MEDICAID 200032380A
Oklahoma MEDICAID 1741256
Oklahoma Other 8A9171
Oklahoma MEDICAID 1582256-01

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