Individual
SHEILA A CARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5510
(573) 632-5810
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5510
(573) 632-5810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2008023312
MO
207V00000X
Obstetrics & Gynecology Physician
4009
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811902638
—
MO
05
—
200104990A
—
OK
01
—
P00696338
RR MEDICARE
MO
Enumeration date
07/30/2006
Last updated
01/18/2016
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