Shelton, John Lewis
Shelton, John Lewis is an sole proprietor health care provider with primary practice located at 3331 Broadway , Everett WA 98201-4472. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shelton, John Lewis can be contacted via phone (360) 321-1022.Contact Information
Primary practice address
3331 Broadway
Everett WA 98201-4472
Phone: (360) 321-1022
Fax: (360) 321-4575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00000580 | Washington |
Profile Details
| NPI number | 1033153242 |
|---|---|
| LBN Legal business name | Shelton, John Lewis |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Apr 16th, 2012 - about 14 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 | 1033153242 | NPPES |
| Washington | Other | 0017234 | WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRIES |
| Washington | Other | PY00000580 | WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRIES |
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