Shull, John David

Shull, John David is an individual health care provider with primary practice located at 1520 S Dobson Rd Ste 217 , Mesa AZ 85202-4754. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Shull, John David can be contacted via phone (480) 539-4000.

Contact Information

Primary practice address
1520 S Dobson Rd Ste 217 Mesa AZ 85202-4754
Phone: (480) 539-4000
Fax: (480) 833-3040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5989 Arizona

Profile Details

NPI number 1114325677
LBN Legal business name Shull, John David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2014
Last updated Apr 4th, 2024 - about 2 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 1114325677 NPPES
Other 1119977 NCCPA
Other 5898 NCCPA

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