Shull, Christian T

Shull, Christian T is an individual health care provider with primary practice located at 2330 Desoto St , Idaho Falls ID 83404-7570. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Shull, Christian T can be contacted via phone (208) 523-1100.

Contact Information

Primary practice address
2330 Desoto St Idaho Falls ID 83404-7570
Phone: (208) 523-1100
Fax: (208) 523-1317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X M8794 Idaho

Profile Details

NPI number 1396899134
LBN Legal business name Shull, Christian T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1396899134 NPPES
Idaho Other P000048425 P00241090 RR MEDICARE
Idaho Other 000010148914 RR MEDICARE
Idaho Other 72496 RR MEDICARE

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