Judy, Alexander Shelton

Judy, Alexander Shelton is an individual health care provider with primary practice located at 440 Woodward Ave , Iron Mountain MI 49801-4631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Judy, Alexander Shelton can be contacted via phone (900) 677-6904.

Contact Information

Primary practice address
440 Woodward Ave Iron Mountain MI 49801-4631
Phone: (900) 677-6904
Fax: (906) 774-7279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 063937 Michigan

Profile Details

NPI number 1730189663
LBN Legal business name Judy, Alexander Shelton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Sep 20th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730189663 NPPES
Michigan Other 080099765 RAILROAD MEDICARE
Michigan MEDICAID 32319900 RAILROAD MEDICARE
Michigan MEDICAID 3366460 RAILROAD MEDICARE

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