Shelton, Walter Rowen
Shelton, Walter Rowen is an individual health care provider with primary practice located at 1325 E Fortification St , Jackson MS 39202-2442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Shelton, Walter Rowen can be contacted via phone (601) 354-4488.Contact Information
Primary practice address
1325 E Fortification St
Jackson MS 39202-2442
Phone: (601) 354-4488
Fax: (601) 914-1851
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 7054 | Mississippi |
Profile Details
NPI number | 1578551792 |
---|---|
LBN Legal business name | Shelton, Walter Rowen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2005 |
Last updated | Nov 17th, 2011 - about 14 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 | 1578551792 | NPPES |
Mississippi | MEDICAID | 00115768 | |
Mississippi | Other | 200010805 |
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