Kreiter, Shelley Rae

Kreiter, Shelley Rae is an individual health care provider with primary practice located at 3746 Vest Mill Rd , Winston Salem NC 27103-2912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kreiter, Shelley Rae can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
3746 Vest Mill Rd Winston Salem NC 27103-2912
Fax: (336) 774-0707
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9500642 North Carolina

Profile Details

NPI number 1255323465
LBN Legal business name Kreiter, Shelley Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jan 10th, 2012 - about 14 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 1255323465 NPPES
North Carolina MEDICAID 895032H

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