institution
Benjamin Shettell, Md
General Practice Physician in Redding, California
NPI 1689944530

Benjamin Shettell, Md is a General Practice Physician based in Redding, CA. Benjamin Shettell, Md practices in Redding, CA. The NPI Number for Benjamin Shettell, Md is 1689944530 and holds a License No. A106932 (California).

The current practice location address for Benjamin Shettell, Md is 2632 Edith Ave Ste B, Redding, CA and can be reached out via phone at 530-242-1227 and via fax at 530-242-6078.

Location: 2632 Edith Ave Ste B, Redding, CA, 96001-3031
institution
Provider Profile Details
NPI Number
1689944530
Provider Name
Benjamin Shettell, Md
Credential
Provider Entity Type
Organization
Address
2632 Edith Ave Ste B, Redding, CA, 96001-3031
Phone Number
530-242-1227
Fax Number
530-242-6078
Provider Enumeration Date
01/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5774539 01 CA MEDI-CAL PIN NUMBER
DX169A 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2632 Edith Ave Ste B
City
State
Zip
96001-3031
Phone Number
530-242-1227
Fax Number
530-242-6078
person
Provider Business Mailing Address Details
Address
2632 Edith Ave Ste B
City
State
Zip
96001-3031
Phone Number
530-242-1227
Fax Number
530-242-6078
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A106932 (California)
Definition
Definition to come...
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