Shull, Frank E

Shull, Frank E is an individual health care provider with primary practice located at 1630 23Rd Ave Bldg 301, Lewiston ID 83501. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Shull, Frank E can be contacted via phone (208) 790-3083.

Contact Information

Primary practice address
1630 23Rd Ave Bldg 301 Lewiston ID 83501
Phone: (208) 790-3083
Fax: (208) 798-7177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00004257 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC3102 Idaho

Profile Details

NPI number 1336138106
LBN Legal business name Shull, Frank E
Credentials MED LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 8th, 2007 - about 18 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 1336138106 NPPES
Idaho Other 05191 BLUE CROSS OF ID
Idaho Other 000010147555 BLUE CROSS OF ID

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