Michael Todd Shull in Kingsland - Independent Duty Corpsman
Michael Todd Shull - NPI 1972565463
Michael Todd Shull is a Independent Duty Corpsman in Kingsland, Georgia. Michael Todd Shull practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Michael Todd Shull is 1972565463. The last update date is 2007-07-08.
Michael Todd Shull's current location address is 108 Honeysuckle Rd, Kingsland, Georgia. You can contact this provider via phone number 9125768169. The mailing address for Michael Todd Shull is 108 Honeysuckle Rd, Kingsland, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Todd Shull |
|---|---|
| Address | 108 Honeysuckle Rd, Kingsland, Georgia |
| Phone Number | 9125768169 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1972565463 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 108 Honeysuckle Rd |
|---|---|
| City | Kingsland |
| State | Georgia (GA) |
| Post Code | 315486486 |
| Phone Number | 9125768169 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
|
Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
|
Post Comment/ Review Below
What is the unique identifier code issued to Michael Todd Shull by the Centers for Medicare & Medicaid Services?
The Michael Todd Shull has been assigned the NPI (National Provider Identifier) 1972565463. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Todd Shull is physically located?
The Michael Todd Shull is physically situated at the following address: 108 Honeysuckle Rd, Kingsland, GA, 315486486.
What is Michael Todd Shull's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Todd Shull's specialized field of practice is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this area of specialization is 1710I1002X.
On what date did Michael Todd Shull receive its 1972565463 assignment from the Centers for Medicare & Medicaid Services?
The Michael Todd Shull was assigned its 1972565463 on 2006-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Michael Todd Shull, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Todd Shull, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM