Smith, Madeline Shelby
Smith, Madeline Shelby is an individual health care provider with primary practice located at 111 Boland St Ste 211 , Fort Worth TX 76107-1265. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Smith, Madeline Shelby can be contacted via phone (817) 529-8485.Contact Information
Primary practice address
111 Boland St Ste 211
Fort Worth TX 76107-1265
Phone: (817) 529-8485
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other | 246Z00000X |
Profile Details
| NPI number | 1639823206 |
|---|---|
| LBN Legal business name | Smith, Madeline Shelby |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2022 |
| Last updated | Feb 11th, 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 | 1639823206 | NPPES |
| Other | 1111111111 | NOTAPPLICABLE |
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