Shelton, Thomas Berkley

Shelton, Thomas Berkley is an individual health care provider with primary practice located at 1325 Wolf Park Dr Suite 102, Germantown TN 38138-1742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shelton, Thomas Berkley can be contacted via phone (901) 252-3400.

Contact Information

Primary practice address
1325 Wolf Park Dr Suite 102 Germantown TN 38138-1742
Phone: (901) 252-3400
Fax: (901) 763-4305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 14342 Tennessee
Allopathic & Osteopathic Physicians / Urology 208800000X 11619 Mississippi

Profile Details

NPI number 1710945522
LBN Legal business name Shelton, Thomas Berkley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Feb 5th, 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 1710945522 NPPES
Other 4666085 AETNA
Other 7299460 AETNA
Other 12940660 AETNA
Other 747572 AETNA
Other 0100720 AETNA
Other 02110025100 AETNA
Other 211159 AETNA
Other 89422 AETNA
MEDICAID 3021792 AETNA
Other 381926 AETNA

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