Shellum, George Michael
Shellum, George Michael is an sole proprietor health care provider with primary practice located at 5666 La Jolla Blvd # 11 , La Jolla CA 92037-7523. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shellum, George Michael can be contacted via phone (858) 245-3530.Contact Information
Primary practice address
5666 La Jolla Blvd # 11
La Jolla CA 92037-7523
Phone: (858) 245-3530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 24403 | California |
Profile Details
| NPI number | 1407003825 |
|---|---|
| LBN Legal business name | Shellum, George Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2008 |
| Last updated | Aug 27th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407003825 | NPPES |
| California | Other | 24403 | CALIFORNIA DENATAL LICENSE |
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