Shelley, Brandon Chad

Shelley, Brandon Chad is an individual health care provider with primary practice located at 2631 Foothill Blvd Suite C, Rock Springs WY 82901-4771. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Shelley, Brandon Chad can be contacted via phone (307) 362-9545.

Contact Information

Primary practice address
2631 Foothill Blvd Suite C Rock Springs WY 82901-4771
Phone: (307) 362-9545
Fax: (307) 362-9732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2007005956 Missouri
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 218 South Dakota
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 218 South Dakota
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2007005956 Missouri
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 145 Wyoming

Profile Details

NPI number 1043411523
LBN Legal business name Shelley, Brandon Chad
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Jun 19th, 2014 - about 12 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 1043411523 NPPES
Missouri Other 35666011 BC/BS OF KANSAS
Missouri Other 5648250001 BC/BS OF KANSAS

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