Shelton, Chad Conrad

Shelton, Chad Conrad is an individual health care provider with primary practice located at 4800 Mexico Rd Ste 101 , Saint Peters MO 63376-1666. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Shelton, Chad Conrad can be contacted via phone (636) 442-5035.

Contact Information

Primary practice address
4800 Mexico Rd Ste 101 Saint Peters MO 63376-1666
Phone: (636) 442-5035
Fax: (636) 442-5036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2006018031 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2006018031 Missouri

Profile Details

NPI number 1194758938
LBN Legal business name Shelton, Chad Conrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194758938 NPPES
Missouri MEDICAID 205456502

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