| Doctor Name: | DR. JON ANDREW SHULL |
| NPI Number: | 1013948348 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01064025A |
| Business Practice Address: | 1708 High St South Bend, IN - 466132633 |
| Business Phone Number: | 5746471400 |
| Business Fax Number: | 5742376663 |
| Mailing Address: | 3355 Douglas Rd, Suite 300 SOUTH BEND |
| State: | IN |
| Postal Code: | 466351781 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 10/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207Q00000X |
| License Number: | 01064025A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |