Smart, Shelby Rebecca
Smart, Shelby Rebecca is an sole proprietor health care provider with primary practice located at 1200 Intrepid Ave , Philadelphia PA 19112-1229. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Smart, Shelby Rebecca can be contacted via phone (864) 764-0322.Contact Information
Primary practice address
1200 Intrepid Ave
Philadelphia PA 19112-1229
Phone: (864) 764-0322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 95294467 | California |
Profile Details
| NPI number | 1164139168 |
|---|---|
| LBN Legal business name | Smart, Shelby Rebecca |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2022 |
| Last updated | Oct 31st, 2022 - about 4 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 | 1164139168 | NPPES |
| California | Other | 95294467 | RN LICENSE |
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