Jon Andrew Shull in South Bend - Family Medicine
Jon Andrew Shull - NPI 1013948348
Jon Andrew Shull is a Family Medicine in South Bend, Indiana. Jon Andrew Shull practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jon Andrew Shull is 1013948348. The last update date is 2009-10-28.
Jon Andrew Shull's current location address is 1708 High St, South Bend, Indiana. You can contact this provider via phone number 5746471400 and fax number 5742376663. The mailing address for Jon Andrew Shull is 1708 High St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Andrew Shull |
|---|---|
| Address | 1708 High St, South Bend, Indiana |
| Phone Number | 5746471400 |
| Fax Number | 5742376663 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013948348 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2009-10-28 |
Provider Mailing Address Detail
| Address | 1708 High St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466132633 |
| Phone Number | 5746471400 |
| Fax Number | 5742376663 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01064025A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200872740 | IN | -- |
Post Comment/ Review Below
What is the Jon Andrew Shull's 1013948348?
The Jon Andrew Shull's NPI (National Provider Identifier) Number is 1013948348. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jon Andrew Shull is physically located?
The Jon Andrew Shull is situated at the following address: 1708 High St, South Bend, IN 466132633.
What is Jon Andrew Shull's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jon Andrew Shull is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013948348 to Jon Andrew Shull?
The Centers for Medicare & Medicaid Services assigned the 1013948348 to Jon Andrew Shull on 2006-07-05.
As of what date were the details pertaining to Jon Andrew Shull last refreshed?
The information related to the Jon Andrew Shull, including its address, specialty, and other relevant details, was last updated on 2009-10-28.
NPI Number: 1104829308
Address: 1009 North State Of Franklin Access Road, Johnson City, TN