MEDICARE: FRANK E SHELP MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0101049812	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	260051634	OTHER	VA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	464600	OTHER	VA	ANTHEM BCBS
3	260003160	OTHER	VA	UNKNOWN

General Provider Information

NPI Number	:	1912030883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK E SHELP MD

Provider Business Mailing Address
First Line	:	13267 SO ANNA LANE
Second Line	:
City	:	MONTPELIER
State	:	VA
Zip	:	23192
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7501 BOULDER VIEW DR
Second Line	:	#601
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-4062
Country	:	US
Telephone Number	:	804-520-8005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	01/13/2015

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Directions to “ FRANK E SHELP MD” Practice Location

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