| Benjamin Shettell, Md | |
|
2632 Edith Ave Ste B Redding CA 96001-3031 | |
| (530) 242-1227 | |
| (530) 242-6078 |
| Full Name | Benjamin Shettell, Md |
|---|---|
| Speciality | General Practice |
| Location | 2632 Edith Ave Ste B, Redding, California |
| Authorized Official Name and Position | Amanda Kaye Harris (OFFICE MANAGER) |
| Authorized Official Contact | 5302421227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Shettell, Md 2632 Edith Ave Ste B Redding CA 96001-3031 Ph: (530) 242-1227 | Benjamin Shettell, Md 2632 Edith Ave Ste B Redding CA 96001-3031 Ph: (530) 242-1227 |
| NPI Number | 1689944530 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689944530 | NPI | - | NPPES |
| 5774539 | Other | CA | MEDI-CAL PIN NUMBER |
| DX169A | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A106932 (California) | Primary |
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