Smith, Shelly
Smith, Shelly is an sole proprietor health care provider with primary practice located at 6060 N Wildhorse Dr , Prescott Valley AZ 86314-3346. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Smith, Shelly can be contacted via phone (760) 644-3670.Contact Information
Primary practice address
6060 N Wildhorse Dr
Prescott Valley AZ 86314-3346
Phone: (760) 644-3670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | BH4554 | Arizona |
Profile Details
| NPI number | 1609245752 |
|---|---|
| LBN Legal business name | Smith, Shelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2015 |
| Last updated | Sep 18th, 2015 - about 11 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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