Mitchell, Shelly Amanda
Mitchell, Shelly Amanda is an sole proprietor health care provider with primary practice located at 3215 N Northhills Blvd , Fayetteville AR 72703-4424. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mitchell, Shelly Amanda can be contacted via phone (479) 463-4121.Contact Information
Primary practice address
3215 N Northhills Blvd
Fayetteville AR 72703-4424
Phone: (479) 463-4121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DT80630 | Texas |
Profile Details
| NPI number | 1396999439 |
|---|---|
| LBN Legal business name | Mitchell, Shelly Amanda |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2008 |
| Last updated | Nov 14th, 2008 - about 18 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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