Neitzel, Shelly J

Neitzel, Shelly J is an individual health care provider with primary practice located at 2038 Norway Rd , Ann Arbor MI 48104-3645. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Neitzel, Shelly J can be contacted via phone (734) 904-0301.

Contact Information

Primary practice address
2038 Norway Rd Ann Arbor MI 48104-3645
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X SN053407 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X SN053407 Michigan

Profile Details

NPI number 1861451262
LBN Legal business name Neitzel, Shelly J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 2nd, 2010 - about 16 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 1861451262 NPPES
Michigan MEDICAID 423964010

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