Benjamin Shettell, Md

LBN: Benjamin Shettell, Md
Benjamin Shettell, Md is an health care organization with primary practice located at 2632 Edith Ave Ste B , Redding CA 96001-3031. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Benjamin Shettell, Md can be contacted via phone (530) 242-1227, or through Harris, Amanda Kaye via phone (530) 242-1227.

Contact Information

Primary practice address
2632 Edith Ave Ste B Redding CA 96001-3031
Phone: (530) 242-1227
Fax: (530) 242-6078
Website:
Map and Directions
Authorized official contact:
Name: Harris, Amanda Kaye
Phone: (530) 242-1227

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A106932 California

Profile Details

NPI number 1689944530
LBN Legal business name Benjamin Shettell, Md
DBA Doing business as
Authorized official Harris, Amanda Kaye
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2012
Last updated Jan 10th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689944530 NPPES
California Other 5774539 MEDI-CAL PIN NUMBER
California Other DX169A MEDI-CAL PIN NUMBER

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