Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 36353 | TN |
Y | 2080P0205X | Pediatric Endocrinologist | 3920 | SD |
NPI | 1164425740 |
---|---|
Provider Name | Dr. John H Shelso |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Sioux Falls, SD 57105-1521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 27/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0082960 | (05) | MT |
009992005 | (05) | AL |
02604722-03 | (05) | NY |
05086744 | (05) | MS |
0587857 | (05) | IA |
1470945 | (05) | LA |
154141001 | (05) | AR |
200031050A | (05) | OK |
200513750A | (05) | IN |
209076900 | (05) | MO |
422400000 | (05) | ME |
5440119 | (05) | TN |
64081276 | (05) | KY |
694544897A | (05) | GA |
7614234 | (05) | NC |
82736863 | (05) | NM |
977465 | (05) | AZ |
F28459 | (02) | TN |
Q36354 | (05) | SC |