Shelton, Bobby Leonard
Shelton, Bobby Leonard is an individual health care provider with primary practice located at 1500 Commonwealth Ave , Williamsburg VA 23185-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shelton, Bobby Leonard can be contacted via phone (757) 585-2200.Contact Information
Primary practice address
1500 Commonwealth Ave
Williamsburg VA 23185-5229
Phone: (757) 585-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 046246 | Georgia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0101240641 | Virginia |
Profile Details
| NPI number | 1386672509 |
|---|---|
| LBN Legal business name | Shelton, Bobby Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 19th, 2022 - about 4 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 | 1386672509 | NPPES |
| Virginia | MEDICAID | 010386934 |
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