Provider Demographics
NPI:1457977431
Name:FOSHEE, SHELBY GAIL
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:GAIL
Last Name:FOSHEE
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 1:422 ALLEN CEMETARY RD
Mailing Address - Street 2:
Mailing Address - City:DIERKS
Mailing Address - State:AR
Mailing Address - Zip Code:71833-9501
Mailing Address - Country:US
Mailing Address - Phone:870-260-2237
Mailing Address - Fax:
Practice Address - Street 1:900 OLD HIGHWAY 70 W
Practice Address - Street 2:
Practice Address - City:DIERKS
Practice Address - State:AR
Practice Address - Zip Code:71833-8828
Practice Address - Country:US
Practice Address - Phone:870-286-3234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator