Edward Georeg Shelleby


Address: 115 Elm Ave, Wyoming, OH 45215-4325
Phone: 5135592066

Edward Georeg Shelleby (NPI# 1124186267, PAC ID# 7517132780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.

Physician Overview

Nation Provider ID (NPI) 1124186267
PAC ID by PECOS 7517132780
Professional Enrollment ID I20111216000401
Full Name Edward Georeg Shelleby
Address 115 Elm Ave
Wyoming
OH 45215-4325
Phone Number 5135592066
Gender M
Graduation Year 1978
Primary Specialty CLINICAL PSYCHOLOGIST
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
115 Elm Ave, Wyoming, OH 45215-4325 5135592066

Organization Information

Office Location

Street Address 115 ELM AVE
City WYOMING
State OH
Zip 45215-4325

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Competitor

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City WYOMING
Zip Code 45215
Specialty CLINICAL PSYCHOLOGIST
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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