Sholl, Tina M

Sholl, Tina M is an individual health care provider with primary practice located at 4013 N Ridge Rd Ste 110, Wichita KS 67205-8857. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Sholl, Tina M can be contacted via phone (316) 722-1333.

Contact Information

Primary practice address
4013 N Ridge Rd Ste 110 Wichita KS 67205-8857
Phone: (316) 722-1333
Fax: (316) 722-3058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 45445 Kansas

Profile Details

NPI number 1922007020
LBN Legal business name Sholl, Tina M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Sep 23rd, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922007020 NPPES
Kansas MEDICAID 200002810A
Kansas Other KA1634002

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