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Contact Information

JARED M SHELTON, DC, BS, CSCS
45 W CENTER ST
SODA SPRINGS, ID83276-1530
 Phone: 208-547-4518
 Fax: 208-547-4555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JARED M SHELTON · (Male)

NPI # 1457537862
Status Active
Credentials DC, BS, CSCS
Entity Individual
Enumeration date 01/16/2008
Last updated 09/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • ID License # CHIA-1284
  • ID Medicaid 807952000
  • ID Other 1673568 MEDICARE INDIVIDUAL PTAN
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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