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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1093829772 | NPPES |
| Florida | MEDICAID | 066624600 | |
| Florida | Other | 53639 |
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