Individual
JOHN S SHELTON
Active
Individual
JOHN S SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0428P
BLUECROSSBLUESHIELDNC
NC
05
—
7705351
—
NC
Enumeration date
01/16/2007
Last updated
04/26/2023
Update your record
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