Shelton, Jean E

Shelton, Jean E is an individual health care provider with primary practice located at 721 Fairfax Ave 3Rd Floor, Norfolk VA 23507-2007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Shelton, Jean E can be contacted via phone (757) 446-5915.

Contact Information

Primary practice address
721 Fairfax Ave 3Rd Floor Norfolk VA 23507-2007
Fax: (757) 446-5969
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101027193 Virginia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101027193 Virginia

Profile Details

NPI number 1356300818
LBN Legal business name Shelton, Jean E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jan 4th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356300818 NPPES
Virginia Other 053788 ANTHEM
Virginia MEDICAID 006833608 ANTHEM
Virginia Other PAR ANTHEM
Virginia Other PAR ANTHEM
Virginia Other PAR ANTHEM
Virginia Other PAR ANTHEM
Virginia Other PAR ANTHEM
Virginia Other PAR ANTHEM
Virginia Other PAR ANTHEM
Virginia Other 215224 ANTHEM
Virginia Other 15740 ANTHEM
Virginia Other PAR ANTHEM
Virginia Other -017 ANTHEM
Virginia Other 0674V ANTHEM
Virginia Other 10007084 ANTHEM
Virginia MEDICAID 890674V ANTHEM

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