Shelton, Cornell

Shelton, Cornell is an individual health care provider with primary practice located at 300 Park Hill Dr , Fredericksburg VA 22401-3387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Shelton, Cornell can be contacted via phone (703) 978-1196.

Contact Information

Primary practice address
300 Park Hill Dr Fredericksburg VA 22401-3387
Phone: (703) 978-1196
Fax: (703) 978-7762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101251254 Virginia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 80380 Massachusetts

Profile Details

NPI number 1003807538
LBN Legal business name Shelton, Cornell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Oct 6th, 2023 - about 3 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 1003807538 NPPES
Virginia MEDICAID 1003807538
Virginia MEDICAID 3172970

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