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Contact Information

JOHN SHELLITO JR, MD
1947 FOUNDERS ST
WICHITA, KS67206-3548
 Phone: 316-689-9124
 Fax: 316-613-4608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for JOHN SHELLITO JR · (Male)

NPI Number 1720019151
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2006
Last updated 02/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 20502
  • KS Medicaid 100147290C
  • KS Other 003429 BCBS
  • KS Other 16923 COVENTRY
  • KS Other 200152 HPK
  • KS Other 12149403 MULTIPLAN
  • KS Other 836 PHS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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