Shull, Michael Todd

Shull, Michael Todd is an individual health care provider with primary practice located at 881 Uss James Madison Rd , Kings Bay GA 31547-2531. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Shull, Michael Todd can be contacted via phone (912) 573-2410.

Contact Information

Primary practice address
881 Uss James Madison Rd Kings Bay GA 31547-2531
Phone: (912) 573-2410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1972565463
LBN Legal business name Shull, Michael Todd
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 8th, 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.

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