Bradford Lewis Shull in Nevada - Chiropractor
Bradford Lewis Shull - NPI 1457357840
Bradford Lewis Shull is a Chiropractor in Nevada, Missouri. Bradford Lewis Shull practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradford Lewis Shull is 1457357840. The last update date is 2010-08-18.
Bradford Lewis Shull's current location address is 202 S Indiana St, Nevada, Missouri. You can contact this provider via phone number 4176674322 and fax number 4176678997. The mailing address for Bradford Lewis Shull is 202 S Indiana St, Nevada, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradford Lewis Shull |
|---|---|
| Address | 202 S Indiana St, Nevada, Missouri |
| Phone Number | 4176674322 |
| Fax Number | 4176678997 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1457357840 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2010-08-18 |
Provider Mailing Address Detail
| Address | 202 S Indiana St |
|---|---|
| City | Nevada |
| State | Missouri (MO) |
| Post Code | 647723978 |
| Phone Number | 4176674322 |
| Fax Number | 4176678997 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 5736 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1389 | MO | MEDICARE PTAN | |
| 16346025 | MO | BCBS | |
| 1457357840 | MO | NPI |
Post Comment/ Review Below
What is the unique identification code assigned to Bradford Lewis Shull by the Centers for Medicare & Medicaid Services?
The Bradford Lewis Shull has been issued the NPI (National Provider Identifier) 1457357840. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bradford Lewis Shull?
The Bradford Lewis Shull is physically situated at 202 S Indiana St, in the city of Nevada, state of MO, with the postal code 647723978.
What is Bradford Lewis Shull's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradford Lewis Shull is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
When did Bradford Lewis Shull receive its 1457357840 assignment?
The Bradford Lewis Shull was assigned its 1457357840 on 2005-06-22, which is the date when this unique identifier was issued to the organization.
When was the information related to Bradford Lewis Shull most recently updated or refreshed?
The details pertaining to the Bradford Lewis Shull, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-18.