Shelton, Richard Stewart
Shelton, Richard Stewart is an individual health care provider with primary practice located at 500 Foothill Blvd , Salt Lake City UT 84148-2307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Shelton, Richard Stewart can be contacted via phone (916) 734-3764.Contact Information
Primary practice address
500 Foothill Blvd
Salt Lake City UT 84148-2307
Phone: (916) 734-3764
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 12406084-1205 | Utah |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01067983 | Indiana |
Profile Details
| NPI number | 1770741886 |
|---|---|
| LBN Legal business name | Shelton, Richard Stewart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2008 |
| Last updated | Apr 14th, 2022 - about 2 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 | 1770741886 | NPPES |
| Indiana | MEDICAID | 200989270 |
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