Doctor Name: | DR. STEVEN FREDERICK SHELDEN |
NPI Number: | 1669633368 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O, |
License Number: | |
Business Practice Address: | 601 John St Kalamazoo, MI - 490075341 |
Business Phone Number: | 2693418481 |
Business Fax Number: | 2693417781 |
Mailing Address: | 10322 Strathmore Hall St, Apt 309 NORTH BETHESDA |
State: | MD |
Postal Code: | 208526637 |
Phone Number: | 2407434558 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |