Shull-Blood, Patricia

Shull-Blood, Patricia is an individual health care provider with primary practice located at 5148 Lovers Ln Suite 200, Portage MI 49002-1572. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shull-Blood, Patricia can be contacted via phone (269) 343-3010.

Contact Information

Primary practice address
5148 Lovers Ln Suite 200 Portage MI 49002-1572
Phone: (269) 343-3010
Fax: (269) 343-3017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301010066 Michigan

Profile Details

NPI number 1033169008
LBN Legal business name Shull-Blood, Patricia
Credentials LLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Dec 14th, 2015 - about 11 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 1033169008 NPPES
Michigan Other P108918030 BCBSM

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