Thime, Shelly

Thime, Shelly is an individual health care provider with primary practice located at 16222 W Us Highway 24 , Woodland Park CO 80863-8762. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thime, Shelly can be contacted via phone (719) 687-6022.

Contact Information

Primary practice address
16222 W Us Highway 24 Woodland Park CO 80863-8762
Phone: (719) 687-6022
Fax: (719) 687-6030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1697 Colorado

Profile Details

NPI number 1700834207
LBN Legal business name Thime, Shelly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Oct 15th, 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 1700834207 NPPES
Colorado MEDICAID 40325750

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