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Dr. Bradford Lewis Shull, DC
Chiropractor in Nevada, Missouri
NPI 1457357840

Bradford Lewis Shull is a Chiropractor based in Nevada, MO. Bradford Lewis Shull practices in Nevada, MO and has the professional credentials of DC. The NPI Number for Bradford Lewis Shull is 1457357840 and holds a License No. 005736 (Missouri).

The current practice location address for Bradford Lewis Shull is 202 S Indiana St, Nevada, MO and can be reached out via phone at 417-667-4322 and via fax at 417-667-8997.

Location: 202 S Indiana St, Nevada, MO, 64772-3978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457357840
Provider Name
Bradford Lewis Shull
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
202 S Indiana St, Nevada, MO, 64772-3978
Phone Number
417-667-4322
Fax Number
417-667-8997
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0001389 01 MO MEDICARE PTAN
16346025 01 MO BCBS
1457357840 01 MO NPI
institution
Provider Business Practice Location Address Details
Address
202 S Indiana St
City
Nevada
State
Missouri
Zip
64772-3978
Phone Number
417-667-4322
Fax Number
417-667-8997
person
Provider Business Mailing Address Details
Address
202 S Indiana St
City
Nevada
State
Missouri
Zip
64772-3978
Phone Number
417-667-4322
Fax Number
417-667-8997
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
005736 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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