Shelton, Telly R
Shelton, Telly R is an sole proprietor health care provider with primary practice located at 7810 S Euclid Ave 2S, Chicago IL 60649-4626. He recently has only one registered license in Transportation Services / Private Vehicle, which is considered as his primary health care specialty. Shelton, Telly R can be contacted via phone (708) 502-3718.Contact Information
Primary practice address
7810 S Euclid Ave 2S
Chicago IL 60649-4626
Phone: (708) 502-3718
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Private Vehicle | 347C00000X | S43581676353 | Illinois |
Profile Details
| NPI number | 1811373418 |
|---|---|
| LBN Legal business name | Shelton, Telly R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2015 |
| Last updated | Nov 9th, 2015 - about 9 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 | 1811373418 | NPPES |
| Illinois | Other | 1811373418 | MEDICAL PROVIDER |
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