Shellito, John
Shellito, John is an individual health care provider with primary practice located at 1947 Founders St , Wichita KS 67206-3548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Shellito, John can be contacted via phone (316) 689-9124.Contact Information
Primary practice address
1947 Founders St
Wichita KS 67206-3548
Phone: (316) 689-9124
Fax: (316) 613-4608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20502 | Kansas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 20502 | Kansas |
Profile Details
| NPI number | 1720019151 |
|---|---|
| LBN Legal business name | Shellito, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Feb 6th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720019151 | NPPES |
| Kansas | Other | 836 | PHS |
| Kansas | Other | 12149403 | PHS |
| Kansas | Other | 200152 | PHS |
| Kansas | Other | 003429 | PHS |
| Kansas | MEDICAID | 100147290C | PHS |
| Kansas | Other | 16923 | PHS |
Popular Providers
-
Lancaster, Brent A
551 N Hillside St Ste 201 , Wichita KS 67214-4923 -
Hunt, Diane L.S.
3243 E Murdock Suite 404, Wichita KS 67208 -
Nold, Ronald Joseph
818 N Emporia St Ste 200 , Wichita KS 67214-3788 -
Tenofsky, Patty L
1947 N Founders Cir , Wichita KS 67206-3548 -
Beamer, Russell Larry
818 N Emporia St Suite 200, Wichita KS 67214-3729 -
Porter, Scott W
3243 E Murdock St Suite 404, Wichita KS 67208-3052 -
Cusick, Therese Elizabeth
551 N Hillside St Ste 201 , Wichita KS 67214-4923 -
Waswick, William A
3243 E Murdock Suite 404, Wichita KS 67208