Shelton, Clough
Shelton, Clough is an individual health care provider with primary practice located at 100 N Medical Dr , Salt Lake City UT 84113-1103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Shelton, Clough can be contacted via phone (801) 588-2700.Contact Information
Primary practice address
100 N Medical Dr
Salt Lake City UT 84113-1103
Phone: (801) 588-2700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 267419-1205 | Utah |
Profile Details
NPI number | 1891885414 |
---|---|
LBN Legal business name | Shelton, Clough |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Jun 18th, 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 | 1891885414 | NPPES |
Idaho | MEDICAID | 003084600 | |
Idaho | Other | 040006913 |
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