Stull, Douglass E

Stull, Douglass E is an individual health care provider with primary practice located at 6265 Rock Chalk Dr Suite 1500, Lawrence KS 66049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Stull, Douglass E can be contacted via phone (785) 843-9125.

Contact Information

Primary practice address
6265 Rock Chalk Dr Suite 1500 Lawrence KS 66049
Phone: (785) 843-9125
Fax: (785) 843-3176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0431952 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0431952 Kansas

Profile Details

NPI number 1366489924
LBN Legal business name Stull, Douglass E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 7th, 2022 - about 3 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 1366489924 NPPES
Kansas MEDICAID 200417830A

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