Martin, Shelby
Martin, Shelby is an sole proprietor health care provider with primary practice located at 5750 Christmas Lake Rd , Excelsior MN 55331-3303. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Martin, Shelby can be contacted via phone (952) 412-1411.Contact Information
Primary practice address
5750 Christmas Lake Rd
Excelsior MN 55331-3303
Phone: (952) 412-1411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Minnesota |
Profile Details
| NPI number | 1629514401 |
|---|---|
| LBN Legal business name | Martin, Shelby |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2017 |
| Last updated | Apr 27th, 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 | 1629514401 | NPPES |
| Minnesota | Other | FXF656A22785 | ANTHEM BLUE CROSS |
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