Shellhouse, Mary E.

Shellhouse, Mary E. is an individual health care provider with primary practice located at 115 Medical Park Drive , Andalusia AL 36420. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shellhouse, Mary E. can be contacted via phone (334) 222-5781.

Contact Information

Primary practice address
115 Medical Park Drive Andalusia AL 36420
Phone: (334) 222-5781
Fax: (334) 222-5794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 1-097517 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-097517 Alabama

Profile Details

NPI number 1639143837
LBN Legal business name Shellhouse, Mary E.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 14th, 2011 - about 15 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 1639143837 NPPES
Alabama MEDICAID 891010000

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