MEDICARE: DR. DANIEL M SHULL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	539	NE

General Provider Information

NPI Number	:	1003009754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL M SHULL DC

Provider Business Mailing Address
First Line	:	2923 O ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510
Country	:	US
Telephone Number	:	402-476-8661
Fax Number	:

Provider Business Practice Location Address
First Line	:	2923 O ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510
Country	:	US
Telephone Number	:	402-476-8661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	08/24/2007

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