Shelton, Randal C.

Shelton, Randal C. is an individual health care provider with primary practice located at 836 S. Townsend Unit A Mountain Peaks Family Practice, Montrose CO 81401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shelton, Randal C. can be contacted via phone (970) 615-9120.

Contact Information

Primary practice address
836 S. Townsend Unit A Mountain Peaks Family Practice Montrose CO 81401
Phone: (970) 615-9120
Fax: (970) 240-1139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 172631 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0053162 Colorado

Profile Details

NPI number 1629357892
LBN Legal business name Shelton, Randal C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Aug 17th, 2017 - about 8 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 1629357892 NPPES
Colorado Other 349127ZV3Y MEDICARE B PTAN FOR MTN PEAKS FAMILY PRACTICE
Colorado Other 349127YS6E MEDICARE B PTAN FOR MTN PEAKS FAMILY PRACTICE
Colorado MEDICAID 91737818 MEDICARE B PTAN FOR MTN PEAKS FAMILY PRACTICE
Colorado Other P01721833 MEDICARE B PTAN FOR MTN PEAKS FAMILY PRACTICE
Colorado Other 349127YTYK MEDICARE B PTAN FOR MTN PEAKS FAMILY PRACTICE
Colorado Other P01382230 MEDICARE B PTAN FOR MTN PEAKS FAMILY PRACTICE

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