Davis, Shelton Avery
Davis, Shelton Avery is an individual health care provider with primary practice located at 8901 Rockville Pike Dept Of , Bethesda MD 20889-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Davis, Shelton Avery can be contacted via phone (301) 295-7753.Contact Information
Primary practice address
8901 Rockville Pike Dept Of
Bethesda MD 20889-0001
Phone: (301) 295-7753
Fax: (301) 295-8358
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | 0101057082 | Virginia |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | D0066221 | Maryland |
Profile Details
NPI number | 1235120684 |
---|---|
LBN Legal business name | Davis, Shelton Avery |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2005 |
Last updated | Aug 29th, 2023 - about 2 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 | 1235120684 | NPPES |
Maryland | MEDICAID | 312202600 | |
Maryland | Other | 96386101 | |
Maryland | Other | W2660027 | |
Maryland | Other | P00854251 |
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