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Contact Information

SHELLEY P BANDY, CMF,CMF,COF
306 PENNY LN
MOREHEAD CITY, NC28557-4306
 Phone: 252-773-0904
 Fax: 252-565-1733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Dialysis Equipment & Supplies

332BD1200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SHELLEY P BANDY · (Female)

NPI Number 1295139913
Status Active
Credentials CMF,CMF,COF
Entity Individual
Enumeration date 10/09/2014
Last updated 02/10/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # C51438
  • NC Medicaid 1295280139
  • NC Other 1295280139 BLUE CROSS AND BLUE SHIELD NC
  • NC Other 1295280139 BLUE CROSS AND BLUE SHIELD SC
  • NC Other 1295280139 MEDICAID
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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