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
Fax: (417) 556-8553
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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 1689621336 NPPES
Kansas MEDICAID 200377150F
Kansas MEDICAID 200252390A
Kansas Other P00800435
Kansas MEDICAID 1689621336

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