Shelton, Thomas N

Shelton, Thomas N is an individual health care provider with primary practice located at 15214 Canyon Rd E Ste 120 , Puyallup WA 98375-7472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shelton, Thomas N can be contacted via phone (253) 539-4200.

Contact Information

Primary practice address
15214 Canyon Rd E Ste 120 Puyallup WA 98375-7472
Fax: (253) 539-6005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00001078 Washington

Profile Details

NPI number 1467457564
LBN Legal business name Shelton, Thomas N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Apr 6th, 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 1467457564 NPPES
Washington Other 0263650 STATE L&I
Washington Other 911465840 STATE L&I
Washington Other 0267959 STATE L&I
Washington Other 0263658 STATE L&I
Washington Other 0263633 STATE L&I
Washington Other 0263655 STATE L&I
Washington Other 0263636 STATE L&I
Washington Other 0263630 STATE L&I
Washington Other 0263632 STATE L&I
Washington Other 0263638 STATE L&I
Washington Other 0255578 STATE L&I
Washington Other 0263641 STATE L&I
Washington Other 0263642 STATE L&I
Washington Other 0268165 STATE L&I
Washington Other 5840SH STATE L&I

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