Sheely, Jessica A

Sheely, Jessica A is an individual health care provider with primary practice located at 18051 River Rd Suite 200, Noblesville IN 46062-7091. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sheely, Jessica A can be contacted via phone (317) 773-0002.

Contact Information

Primary practice address
18051 River Rd Suite 200 Noblesville IN 46062-7091
Phone: (317) 773-0002
Fax: (317) 776-6095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01064115A Indiana

Profile Details

NPI number 1033256086
LBN Legal business name Sheely, Jessica A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Sep 21st, 2020 - about 6 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 1033256086 NPPES
Indiana MEDICAID 200868660
Indiana Other 000000623502

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