Shelly, Wendy B.

Shelly, Wendy B. is an individual health care provider with primary practice located at 8010 Frost St Plaza Level, San Diego CA 92123-2778. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is her primary health care specialty. Shelly, Wendy B. can be contacted via phone (858) 505-5500.

Contact Information

Primary practice address
8010 Frost St Plaza Level San Diego CA 92123-2778
Phone: (858) 505-5500
Fax: (858) 505-5555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A90649 California
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X A90649 California

Profile Details

NPI number 1871530147
LBN Legal business name Shelly, Wendy B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 21st, 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 1871530147 NPPES
California MEDICAID 00A906490

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