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Contact Information

SHELBY A HEATWOLE, ATC, LAT
1209 HARRISON AVE.
GOODLAND, KS67735
 Phone: 785-890-1539
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Assistant

246ZX2200X
Indicates primary specialty

NPI Profile & details for SHELBY A HEATWOLE · (Female)

NPI Number 1437691375
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 11/09/2016
Last updated 11/09/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 24-01126
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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