Shelly, Robert L

Shelly, Robert L is an individual health care provider with primary practice located at 551 S E Maylor St , Oak Harbor WA 98277-5000. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shelly, Robert L can be contacted via phone (360) 675-4954.

Contact Information

Primary practice address
551 S E Maylor St Oak Harbor WA 98277-5000
Phone: (360) 675-4954
Fax: (360) 675-4968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0252 02 00002035 Washington

Profile Details

NPI number 1700950102
LBN Legal business name Shelly, Robert L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 29th, 2008 - about 18 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 1700950102 NPPES
Washington MEDICAID 8348112
Washington Other 91-1619092
Washington Other 0252-02 00002035

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