Shull, Susan
Shull, Susan is an sole proprietor health care provider with primary practice located at 5138 Shelburne Rd Suite 12, Shelburne VT 05482-6698. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shull, Susan can be contacted via phone (802) 985-2585.Contact Information
Primary practice address
5138 Shelburne Rd Suite 12
Shelburne VT 05482-6698
Phone: (802) 985-2585
Fax: (802) 985-5092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042-0010041 | Vermont |
Profile Details
| NPI number | 1760401673 |
|---|---|
| LBN Legal business name | Shull, Susan |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760401673 | NPPES |
| Vermont | MEDICAID | 0002349 |
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