Sheldon, David P
Sheldon, David P is an individual health care provider with primary practice located at 4001 W Royal Dr , Traverse City MI 49684-8965. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Sheldon, David P can be contacted via phone (231) 946-9122.Contact Information
Primary practice address
4001 W Royal Dr
Traverse City MI 49684-8965
Phone: (231) 946-9122
Fax: (231) 935-0317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DS001425 | Michigan |
Profile Details
| NPI number | 1912012584 |
|---|---|
| LBN Legal business name | Sheldon, David P |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Feb 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912012584 | NPPES |
| Michigan | MEDICAID | 1916668 | |
| Michigan | Other | 480006147 | |
| Michigan | Other | 4852850010 |
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