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Contact Information

PAUL V SHELLABARGER, PAC
119 SOUTH 4TH
INDIANOLA, NE69034
 Phone: 308-364-9290
 Fax: 308-697-3278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PAUL V SHELLABARGER · (Male)

NPI # 1265529796
Status Active
Credentials PAC
Entity Individual
Enumeration date 10/06/2006
Last updated 01/05/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NE License # NE389000
  • NE Medicaid 389
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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