Doctor Name: | DR. JEFFREY S SHELBY |
NPI Number: | 1962437392 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G054026 |
Business Practice Address: | 675 State Rt 3 Plattsburgh Medical Care Plattsburgh, NY - 12901 |
Business Phone Number: | 5185660672 |
Business Fax Number: | 5185660641 |
Mailing Address: | 675 State Rt 3, Plattsburgh Medical Care PLATTSBURGH |
State: | NY |
Postal Code: | 12901 |
Phone Number: | 5185660672 |
Fax Number: | 5185660641 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G054026 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |