Shull, Emily R
Shull, Emily R is an individual health care provider with primary practice located at 580 S Loop Rd Suite 200, Edgewood KY 41017-3405. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shull, Emily R can be contacted via phone (859) 331-9000.Contact Information
Primary practice address
580 S Loop Rd Suite 200
Edgewood KY 41017-3405
Phone: (859) 331-9000
Fax: (859) 331-9040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5574 T2488 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1681DT | Kentucky |
Profile Details
| NPI number | 1003836412 |
|---|---|
| LBN Legal business name | Shull, Emily R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Dec 18th, 2007 - about 17 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 | 1003836412 | NPPES |
| Ohio | MEDICAID | 1406827 | |
| Ohio | Other | P00405513 | |
| Ohio | MEDICAID | 2699567 | |
| Ohio | Other | 000000484330 |
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