National Provider Identifier Database

BLUE MEDICAL LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

BLUE MEDICAL LLC
511 W WOODBINE
NIXA, MO65714
Phone: 417-444-3501
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for BLUE MEDICAL LLC

NPI Number 1124818729
Legal business name
LBN
BLUE MEDICAL LLC
Authorized official BRIAN SHEFULSKY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/08/2025
Last updated 10/22/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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