Provider Demographics
NPI:1184663783
Name:HELLMAN, SHEILA ELINOR (DO)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ELINOR
Last Name:HELLMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 915
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-0915
Mailing Address - Country:US
Mailing Address - Phone:870-930-9355
Mailing Address - Fax:870-268-6859
Practice Address - Street 1:260 SOUTHWEST DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5829
Practice Address - Country:US
Practice Address - Phone:870-930-9355
Practice Address - Fax:870-268-6859
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE1539207Q00000X, 207QA0401X, 2083P0901X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR134101003Medicaid
F009911Medicare UPIN
AR134101003Medicaid