Shull, Frank E
Shull, Frank E is an individual health care provider with primary practice located at 1630 23Rd Ave Bldg 301, Lewiston ID 83501. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Shull, Frank E can be contacted via phone (208) 790-3083.Contact Information
Primary practice address
1630 23Rd Ave Bldg 301
Lewiston ID 83501
Phone: (208) 790-3083
Fax: (208) 798-7177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH00004257 | Washington |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC3102 | Idaho |
Profile Details
| NPI number | 1336138106 |
|---|---|
| LBN Legal business name | Shull, Frank E |
| Credentials | MED LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1336138106 | NPPES |
| Idaho | Other | 05191 | BLUE CROSS OF ID |
| Idaho | Other | 000010147555 | BLUE CROSS OF ID |
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