Hager, Shelton
Hager, Shelton is an individual health care provider with primary practice located at 105 W Stone Dr Ste 3A, Kingsport TN 37660-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hager, Shelton can be contacted via phone (423) 392-6200.Contact Information
Primary practice address
105 W Stone Dr Ste 3A
Kingsport TN 37660-3256
Phone: (423) 392-6200
Fax: (423) 392-6593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39196 | Tennessee |
Profile Details
| NPI number | 1407859796 |
|---|---|
| LBN Legal business name | Hager, Shelton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Sep 16th, 2019 - about 5 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 | 1407859796 | NPPES |
| Virginia | MEDICAID | 10134706 | |
| Virginia | MEDICAID | 3325584 |
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