Shelgren, John Donald

Shelgren, John Donald is an sole proprietor health care provider with primary practice located at 427 E Central Ave , Winter Haven FL 33880-3051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shelgren, John Donald can be contacted via phone (863) 293-5100.

Contact Information

Primary practice address
427 E Central Ave Winter Haven FL 33880-3051
Phone: (863) 293-5100
Fax: (863) 293-5300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME39638 Florida

Profile Details

NPI number 1093829772
LBN Legal business name Shelgren, John Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Oct 19th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093829772 NPPES
Florida MEDICAID 066624600
Florida Other 53639

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