Basic Information
| Provider Information | |||||||||
| NPI: | 1316268816 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHEMES | ||||||||
| FirstName: | HILLARY | ||||||||
| MiddleName: | AGNES | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 406 E ELM ST | ||||||||
| Address2: | |||||||||
| City: | CARSON CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488119693 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9895843971 | ||||||||
| FaxNumber: | 9895846734 | ||||||||
| Practice Location | |||||||||
| Address1: | 114 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | ITHACA | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488471132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9898754166 | ||||||||
| FaxNumber: | 9898755168 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2010 | ||||||||
| LastUpdateDate: | 08/20/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0116022581 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 5101020719 | MI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.