Shelton-Gross, Marjorie
Shelton-Gross, Marjorie is an individual health care provider with primary practice located at 1469 Humboldt Rd Suite 200, Chico CA 95928-9116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Shelton-Gross, Marjorie can be contacted via phone (530) 891-1917.Contact Information
Primary practice address
1469 Humboldt Rd Suite 200
Chico CA 95928-9116
Phone: (530) 891-1917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207VH0002X | G455730 | California |
Profile Details
| NPI number | 1407068059 |
|---|---|
| LBN Legal business name | Shelton-Gross, Marjorie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Dec 1st, 2014 - about 12 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 | 1407068059 | NPPES |
| California | MEDICAID | CMM70268F | |
| California | MEDICAID | CMM70370F | |
| California | MEDICAID | CMM70116G | |
| California | MEDICAID | ZZR11629F |
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