Provider Demographics
NPI:1477228245
Name:SHELLING, BRITTNEI
Entity Type:Individual
Prefix:
First Name:BRITTNEI
Middle Name:
Last Name:SHELLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39158-0058
Mailing Address - Country:US
Mailing Address - Phone:318-537-5208
Mailing Address - Fax:
Practice Address - Street 1:1037 SPANISH OAK DR
Practice Address - Street 2:
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-8046
Practice Address - Country:US
Practice Address - Phone:318-537-5208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist