Shelton, Burton Otis

Shelton, Burton Otis is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston Salem NC 27103-3013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Shelton, Burton Otis can be contacted via phone (336) 718-7080.

Contact Information

Primary practice address
3333 Silas Creek Pkwy Winston Salem NC 27103-3013
Phone: (336) 718-7080
Fax: (336) 718-9622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 201895 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201895 North Carolina

Profile Details

NPI number 1184685687
LBN Legal business name Shelton, Burton Otis
Credentials FNP C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Oct 25th, 2020 - about 4 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 1184685687 NPPES
North Carolina MEDICAID 7005844

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