Shelburne, Christopher T
Shelburne, Christopher T is an individual health care provider with primary practice located at 4950 Norton Healthcare Blvd Suite 205, Louisville KY 40241-2845. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Shelburne, Christopher T can be contacted via phone (502) 583-1697.Contact Information
Primary practice address
4950 Norton Healthcare Blvd Suite 205
Louisville KY 40241-2845
Phone: (502) 583-1697
Fax: (502) 583-2120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1699968008 |
|---|---|
| LBN Legal business name | Shelburne, Christopher T |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Dec 10th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699968008 | NPPES |
| Kentucky | Other | 50032045 | PASSPORT- NNIKY |
| Kentucky | Other | 122151 | PASSPORT- NNIKY |
| Kentucky | Other | P00948789 | PASSPORT- NNIKY |
| Kentucky | MEDICAID | 7100155340 | PASSPORT- NNIKY |
| Kentucky | Other | 000000690096 | PASSPORT- NNIKY |
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