Individual
PAUL V SHELLABARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
119 SOUTH 4TH, INDIANOLA, NE 69034
(308) 364-9290
(308) 697-3278
Mailing address
PO BOX 488, CAMBRIDGE, NE 69022-0488
(308) 697-3317
(308) 697-3278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NE389000
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389
—
NE
Enumeration date
10/06/2006
Last updated
01/05/2010
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