Provider Demographics
NPI:1598889800
Name:DRIVER, SHEILA BELL (HIS)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:BELL
Last Name:DRIVER
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 POPLAR AVE STE 108-B
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-7503
Mailing Address - Country:US
Mailing Address - Phone:901-767-3045
Mailing Address - Fax:901-767-3047
Practice Address - Street 1:4515 POPLAR AVE STE 108-B
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-7503
Practice Address - Country:US
Practice Address - Phone:901-767-3045
Practice Address - Fax:901-767-3047
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0384237700000X
TN468237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4108881Medicare UPIN