Shelton, Jean E
Shelton, Jean E is an individual health care provider with primary practice located at 721 Fairfax Ave 3Rd Floor, Norfolk VA 23507-2007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Shelton, Jean E can be contacted via phone (757) 446-5915.Contact Information
Primary practice address
721 Fairfax Ave 3Rd Floor
Norfolk VA 23507-2007
Phone: (757) 446-5915
Fax: (757) 446-5969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101027193 | Virginia |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0101027193 | Virginia |
Profile Details
| NPI number | 1356300818 |
|---|---|
| LBN Legal business name | Shelton, Jean E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jan 4th, 2011 - about 15 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 | 1356300818 | NPPES |
| Virginia | Other | 053788 | ANTHEM |
| Virginia | MEDICAID | 006833608 | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | 215224 | ANTHEM |
| Virginia | Other | 15740 | ANTHEM |
| Virginia | Other | PAR | ANTHEM |
| Virginia | Other | -017 | ANTHEM |
| Virginia | Other | 0674V | ANTHEM |
| Virginia | Other | 10007084 | ANTHEM |
| Virginia | MEDICAID | 890674V | ANTHEM |
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