Shelton, Heather A

Shelton, Heather A is an individual health care provider with primary practice located at 3015 Hway 95 # 109, Bullhead City AZ 86442-4334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Shelton, Heather A can be contacted via phone (928) 763-5055.

Contact Information

Primary practice address
3015 Hway 95 # 109 Bullhead City AZ 86442-4334
Phone: (928) 763-5055
Fax: (928) 763-5056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 23913 Arizona

Profile Details

NPI number 1063403269
LBN Legal business name Shelton, Heather A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Feb 19th, 2013 - about 11 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 1063403269 NPPES
Arizona MEDICAID 403395

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