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Contact Information

DONNIE E SHELTON JR, MD
201 S 14TH ST
HERRIN, IL62948
 Phone: 618-942-2171
 Fax: 618-351-4917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DONNIE E SHELTON JR · (Male)

NPI # 1346301025
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2006
Last updated 09/28/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036121910
  • IL License # 1250520017
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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