Shettle, David Scott

Shettle, David Scott is an sole proprietor health care provider with primary practice located at 4200 4Th St N Suite F, St Petersburg FL 33703-4735. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shettle, David Scott can be contacted via phone (727) 528-2015.

Contact Information

Primary practice address
4200 4Th St N Suite F St Petersburg FL 33703-4735
Phone: (727) 528-2015
Fax: (727) 528-2010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2753 Florida

Profile Details

NPI number 1740280130
LBN Legal business name Shettle, David Scott
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Aug 28th, 2009 - about 15 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 1740280130 NPPES
Florida MEDICAID 620051601

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