Shull, Gretchen Denise
Shull, Gretchen Denise is an individual health care provider with primary practice located at 100 Mercy Way Ste 580, Joplin MO 64804-4524. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Shull, Gretchen Denise can be contacted via phone (417) 556-8555.Contact Information
Primary practice address
100 Mercy Way Ste 580
Joplin MO 64804-4524
Phone: (417) 556-8555
Fax: (417) 556-8553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31728 | Kansas |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 2009008010 | Missouri |
Profile Details
| NPI number | 1689621336 |
|---|---|
| LBN Legal business name | Shull, Gretchen Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Mar 21st, 2016 - 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 | 1689621336 | NPPES |
| Kansas | MEDICAID | 200377150F | |
| Kansas | MEDICAID | 200252390A | |
| Kansas | Other | P00800435 | |
| Kansas | MEDICAID | 1689621336 |
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