Shelton, Andrew Alan

Shelton, Andrew Alan is an individual health care provider with primary practice located at 875 Blake Wilbur Drive Clinic B , Stanford CA 94305-5820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Shelton, Andrew Alan can be contacted via phone (650) 723-3913.

Contact Information

Primary practice address
875 Blake Wilbur Drive Clinic B Stanford CA 94305-5820
Phone: (650) 723-3913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X G76692 California

Profile Details

NPI number 1710029681
LBN Legal business name Shelton, Andrew Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 18 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 1710029681 NPPES
California MEDICAID 00G76692

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