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Contact Information

JACOB C SHELL
4403 BETTY LEE BLVD
GLADWIN, MI48624
 Phone: 989-329-8460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Athletic Trainer

2255A2300X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JACOB C SHELL · (Male)

NPI # 1558889162
Status Active
Credentials
Entity Individual
Enumeration date 09/03/2017
Last updated 10/16/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5501302669
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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