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Contact Information

SHANNON E HULL, PAC
502 LOCUST ST
ALLISON, IA50602
 Phone: 319-267-2759
 Fax: 319-267-2851
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHANNON E HULL · (Male)

NPI # 1457339095
Status Active
Credentials PAC
Entity Individual
Enumeration date 01/04/2006
Last updated 05/30/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001238
  • IA Other 9700100773 RR MEDICARE
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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