Provider Demographics
NPI:1578658951
Name:WEBB, SHEILA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:MARIE
Last Name:WEBB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 AVE. B
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361
Mailing Address - Country:US
Mailing Address - Phone:308-630-2228
Mailing Address - Fax:308-630-1704
Practice Address - Street 1:4021 AVE. B
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361
Practice Address - Country:US
Practice Address - Phone:308-630-2228
Practice Address - Fax:308-630-1704
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE23312207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE279275Medicare ID - Type UnspecifiedNEBRASKA MEDICARE NUMBER
NEI38992Medicare UPIN